Nana Mimura


Address: 4915 Rattlesnake Hammock Rd, Suite 156, Naples, FL 34113-6959

Nana Mimura (NPI# 1568563625, PAC ID# 9537175658) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1568563625
PAC ID by PECOS 9537175658
Professional Enrollment ID I20141114001212
Full Name Nana Mimura
Address 4915 Rattlesnake Hammock Rd
Suite 156
Naples
FL 34113-6959
Gender F
Credential MD
Graduation Year 1992
Primary Specialty INTERNAL MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
100286 PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE

Other Locations

Address Phone Organization
1000 Arbor Lake Dr, Naples, FL 34110-8087 8656931000 FLORIDA POST ACUTE MEDICAL SERVICES 1 PA
130 Moorings Park Dr, Naples, FL 34105-2122 2394306319 THE MOORINGS INCORPORATED
4915 Rattlesnake Hammock Rd, Suite 156, Naples, FL 34113-6959

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 100%
MIPS_EC_154_overall Falls: Risk Assessment 99%
MIPS_EC_155_overall Falls: Plan of Care 99%
MIPS_EC_181_overall Elder Maltreatment Screen and Follow-Up Plan 99%

Organization Information

Office Location

Street Address 4915 RATTLESNAKE HAMMOCK RD
SUITE 156
City NAPLES
State FL
Zip 34113-6959

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Leonard A Lado Psychiatry Leonard A Lado Md Pa 9001 Tamiami Trail E, Naples, FL 34113-3304
David C Waggoner Psychiatry 9001 Tamiami Trail E, Naples, FL 34113-3304
Mary C Coriano Clinical Social Worker 8901 Tamiami Trail E, Naples, FL 34113-3307
Amanda E Grant Occupational Therapy Healthpro Heritage Rehab and Fitness LLC 5175 Tamiami Trail E, Naples, FL 34113-4100
Lawrence J Egger Physician Assistant Panira Healthcare Clinic, Inc 5039 Tamiami Trl E, Naples, FL 34113-4127
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Competitor

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City NAPLES
Zip Code 34113
Specialty INTERNAL MEDICINE
City + Specialty NAPLES + INTERNAL MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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