DR. MIRIAM KANAN (FNP-BC, APN) – Family Nurse Practitioner, NPI 1144008020

DR. MIRIAM KANAN (FNP-BC, APN) is a healthcare provider. based in Tinley park, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC, APN. They hold a License No. 209.027654 (IL). The NPI Number for DR. MIRIAM KANAN (FNP-BC, APN) is 1144008020

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
DR. MIRIAM KANAN (FNP-BC, APN)
NPI
1144008020
Phone
(708) 557-8553
Address
8000 BLOCK CT
Enumeration Date
20 September 2023
Last Update Date
20 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8157278670
Graduation Year
2023 (3 years ago)
PAC ID
5193163327
Group Practice PAC ID
5395633317
Professional Enrollment ID
I20240405002566
Address ID
IL604332548JO1106XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for DR. MIRIAM KANAN (FNP-BC, APN)

  • 8000 BLOCK CT

    TINLEY PARK, IL 604879252

    Phone: (708) 557-8553

    Type: Mailing

  • 1106 NEAL AVE

    JOLIET, IL 604332548

    Phone: (815) 727-8480

    Fax: (815) 727-8484

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $128.

Total Amount is formed as General ($128) + Research ($0) + Ownership ($0) = $128.

Last reported payment date: 2024-06-13 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($36).

Total Amount

$128

General + Research + Ownership

Payments

7

Total payment records

General Amount

$128

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-13

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-04-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240405002566INurse PractitionerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60487)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5395633317View full group profile
NameSpecialtyState
Nurse PractitionerIL
O B S T E T R I C S/ G Y N E C O L O G YIL
Family PracticeIL
Nurse PractitionerIL
O B S T E T R I C S/ G Y N E C O L O G YIL
O B S T E T R I C S/ G Y N E C O L O G YIL
Nurse PractitionerIL
Internal Medicine, Infectious DiseaseIL
-IL
P S Y C H I A T R YIL

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. MIRIAM KANAN (FNP-BC, APN)?
DR. MIRIAM KANAN (FNP-BC, APN) — NPI 1144008020 — is the standard way to identify this listing.
Can I rely on DR. MIRIAM KANAN (FNP-BC, APN) being an active provider?
As of the registry snapshot, DR. MIRIAM KANAN (FNP-BC, APN) is marked active.
What is DR. MIRIAM KANAN (FNP-BC, APN) best known for clinically?
Directory data describes DR. MIRIAM KANAN (FNP-BC, APN) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for DR. MIRIAM KANAN (FNP-BC, APN)?
DR. MIRIAM KANAN (FNP-BC, APN)'s geographic hint is Tinley Park, Illinois in our summary view.
Is the information about DR. MIRIAM KANAN (FNP-BC, APN) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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