Individual provider Active NPI

Maradale Karafa, APRN, FNP-C

  • Family Nurse Practitioner
  • Charleston, MO
National Provider Identifier
1972283331
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2023028892 Issued in MO
Practice address
1403 E Marshall St
Charleston, MO 63834-1446
Phone
(573) 683-2327
Fax
(573) 683-2373
NPI assigned
Jul 20, 2023
Last updated
Jul 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2023028892 MO Primary

Addresses

Primary practice location

1403 E Marshall St
Charleston, MO 63834-1446

Mailing address

1008 N Main St
Sikeston, MO 63801-5044
Phone (573) 472-7423

Other practice location 1

615 Main St
New Madrid, MO 63869-1513
Phone (573) 748-2546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230823003379 MO Practitioner - Nurse Practitioner 8820451826 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Missouri Delta Medical CenterGroup PAC ID 1355252891, 134 clinicians

Practice addresses (Care Compare)

1008 N Main St
Sikeston, MO 63801-5044
Phone (573) 471-1600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Missouri Delta Medical Center CurrentSince Aug 7, 2023 Accepting new patients
Missouri Delta Medical Center CurrentSince Aug 7, 2023 Accepting new patients
Missouri Delta Medical Center Past Accepting new patients

Locations

1403 E Marshall St
Charleston, MO 63834
Phone (573) 683-2327

615 Main St
New Madrid, MO 63869
Phone (573) 748-2546

1008 N Main St
Sikeston, MO 63801
Phone (573) 471-1600

Organizations & group practices 3

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

Hospital & facility affiliations 1

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": "1689811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1972283331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 N MAIN ST",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638015044",
            "telephone_number": "573-472-7423",
            "fax_number": "573-472-7475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 E MARSHALL ST",
            "city": "CHARLESTON",
            "state": "MO",
            "postal_code": "638341446",
            "telephone_number": "573-683-2327",
            "fax_number": "573-683-2373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "615 Main St",
            "address_purpose": "LOCATION",
            "city": "New Madrid",
            "state": "MO",
            "postal_code": "638691513",
            "country_code": "US",
            "telephone_number": "573-748-2546",
            "fax_number": "573-748-2433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KARAFA",
        "first_name": "MARADALE",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-20",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2023028892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, MO

Sources for this page

Verify at the official NPI Registry.