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 a 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

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