Individual provider Active NPI

Miroslava Cova, RN

  • Certified Registered Nurse Anesthetist
  • Saint John, IN
National Provider Identifier
1952020489
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
041458567 Issued in IL
Practice address
9987 Belmont CT
Saint John, IN 46373-9163
Phone
(219) 671-7868
NPI assigned
Aug 26, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WC0200X 28207301A IN
Certified Registered Nurse Anesthetist 367500000X 041458567 IL Primary

Addresses

Primary practice location

9987 Belmont CT
Saint John, IN 46373-9163

Mailing address

9987 Belmont CT
Saint John, IN 46373-9163
Phone (219) 671-7868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240903001683 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 5395284400 Reassigns benefits to 1 organization
I20250106001639 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 5395284400 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northstar Anesthesia of Indiana LLCGroup PAC ID 1153576905, 130 clinicians

Practice addresses (Care Compare)

24 Joliet St
Dyer, IN 46311-1705
Phone (219) 865-2141

701 Superior Ave
Munster, IN 46321-4037
Phone (219) 922-4200

Hospital & facility affiliations

  • Franciscan Health Munster Hospital, Munster, IN, CCN 150165
  • Franciscan Health Dyer Hospital, Dyer, IN, CCN 150090
  • Franciscan Health Crown Point Hospital, Crown Point, IN, CCN 150126

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Anesthesia of Indiana LLC Single Specialty CurrentSince Aug 1, 2024 Accepting new patients
Northstar Anesthesia of Illinois, LLC Single Specialty CurrentSince Sep 26, 2024 Accepting new patients

Locations

13500 Powers Ct
Ste 230
Fort Myers, FL 33912
Phone (239) 610-0784

1423 Chicago Rd
Sauk Village, IL 60411
Phone (708) 679-2160

24 Joliet St
Dyer, IN 46311
Phone (219) 864-2237

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1952020489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9987 BELMONT CT",
            "city": "SAINT JOHN",
            "state": "IN",
            "postal_code": "463739163",
            "telephone_number": "219-671-7868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9987 BELMONT CT",
            "city": "SAINT JOHN",
            "state": "IN",
            "postal_code": "463739163",
            "telephone_number": "219-671-7868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVA",
        "first_name": "MIROSLAVA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-26",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "IN",
            "license": "28207301A",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "041458567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint John, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.