Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Miemie Vidal

Individual provider Certified Registered Nurse Anesthetist · NPI 1871095265

Mrs. Miemie Vidal is registered under Certified Registered Nurse Anesthetist (CRNA) in New York, New York. Qualified in 2017, 9 years ago. Practices with 5000 Avenue K Medical Assocs PC, a 20-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
9
Licensed in
NY
In the registry since
2018
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Practice location Address checks out

622 W 168th St
New York, NY 10032-3720
Phone: (212) 305-2500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 355 Bard Ave, Staten Island, NY 10310-1664 — (914) 848-8980

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 641632 (NY)

Record details

NPI number1871095265
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 1, 2018
Last updated in NPPESJune 9, 2026
Certification dateJune 9, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice 5000 Avenue K Medical Assocs Pc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients58
Services billed 62 a service is one billed item, such as a visit, a test or a procedure
Average patient age75

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at 5000 Avenue K Medical Assocs PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 20 clinicians in the practice; 12 are shown here.

Other providers in New York