MR. NATHANIEL KRAVITZ (RN, MN, PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1053543066

MR. NATHANIEL KRAVITZ (RN, MN, PMHNP) is a healthcare provider. based in Jefferson, Oregon. specializing in NURSE PRACTITIONER. They hold the professional credentials RN, MN, PMHNP. They hold a License No. 23426 (OR). The NPI Number for MR. NATHANIEL KRAVITZ (RN, MN, PMHNP) is 1053543066

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
MR. NATHANIEL KRAVITZ (RN, MN, PMHNP)
NPI
1053543066
Phone
(503) 361-7758
Address
1587 PACIFIC RIDGE LN SE
Enumeration Date
10 August 2009
Last Update Date
29 July 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5035764589
Graduation Year
2010 (16 years ago)
PAC ID
7315128659
Group Practice PAC ID
8123928017
Professional Enrollment ID
I20110221000363
Address ID
OR973014530SA3160XNEXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:16State licenses:3Digital endpointsOther names

3,366 NURSE PRACTITIONER in OR

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Provider Addresses for MR. NATHANIEL KRAVITZ (RN, MN, PMHNP)

  • 1587 PACIFIC RIDGE LN SE

    JEFFERSON, OR 973529654

    Phone: (503) 361-7758

    Type: Mailing

  • 2045, Silverton Road Northeast, Salem, Marion County, Oregon, 97301, United States

    SALEM, OR 973010100

    Phone: (503) 588-5351

    Fax: (503) 585-4908

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $27.

Total Amount is formed as General ($27) + Research ($0) + Ownership ($0) = $27.

Last reported payment date: 2024-10-01 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($27).

Total Amount

$27

General + Research + Ownership

Payments

1

Total payment records

General Amount

$27

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-01

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2011-02-21

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
I20110221000363INurse PractitionerORTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes5726$0
99442Telephone medical discussion with physician, 11-20 minutes3417$0
99213Established patient office or other outpatient visit, 20-29 minutes2516$0
99443Telephone medical discussion with physician, 21-30 minutes2512$0
View full utilization report →

Insurance plans in this area (ZIP 97352)

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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: 8123928017View full group profile
NameSpecialtyState
Nurse PractitionerTX
Clinical Social WorkerOR
Clinical Social WorkerPA
-OR
Nurse PractitionerCA
P S Y C H I A T R YOR
Nurse PractitionerAZ
Nurse PractitionerCO
P S Y C H I A T R YOR
Mental Health CounselorOR

Reviews

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Frequently asked questions

What is MR. NATHANIEL KRAVITZ (RN, MN, PMHNP)'s NPI number?
MR. NATHANIEL KRAVITZ (RN, MN, PMHNP)'s NPI is 1053543066 — the number used across U.S. healthcare to identify this provider.
Is MR. NATHANIEL KRAVITZ (RN, MN, PMHNP) still an active registrant?
MR. NATHANIEL KRAVITZ (RN, MN, PMHNP) carries an active NPI according to the public dataset.
What kind of doctor is MR. NATHANIEL KRAVITZ (RN, MN, PMHNP)?
MR. NATHANIEL KRAVITZ (RN, MN, PMHNP) is associated with Psychiatric/Mental Health Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Where in Oregon is MR. NATHANIEL KRAVITZ (RN, MN, PMHNP) registered?
Use Jefferson, Oregon as the headline location for MR. NATHANIEL KRAVITZ (RN, MN, PMHNP) here.
Does MR. NATHANIEL KRAVITZ (RN, MN, PMHNP) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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