Phouangmaly Mimi Oupravanh, DNP in Rehoboth, MA

Phouangmaly Mimi Oupravanh, DNP is a medicare enrolled "Nurse Practitioner" in Rehoboth, Massachusetts. She went to University Of Massachusetts Medical School and graduated in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Edward M Kennedy Community Health Center Inc, Sturdy Health Inc and her current practice location is 538 Winthrop St, Rehoboth, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (508) 336-9200.

Phouangmaly Mimi Oupravanh is licensed to practice in Massachusetts (license number RN2338222) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1346875531.

Contact Information

	Phouangmaly Mimi Oupravanh, DNP
	538 Winthrop St, Rehoboth, MA 02769-1227
	(508) 336-9200
	(508) 342-1917

Map and Direction

Provider's Profile

Full Name	Phouangmaly Mimi Oupravanh
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	538 Winthrop St, Rehoboth, Massachusetts
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Phouangmaly Mimi Oupravanh attended and graduated from University Of Massachusetts Medical School in 2021

NPI Data:

NPI Number: 1346875531
Provider Enumeration Date: 03/08/2020
Last Update Date: 01/19/2026

Medicare PECOS Information:

PECOS PAC ID: 8527447200
Enrollment ID: I20220627002611

Medical Identifiers

Medical identifiers for Phouangmaly Mimi Oupravanh such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346875531	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN2338222 (Massachusetts)	Secondary
363L00000X	Nurse Practitioner	RN2338222 (Massachusetts)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Sturdy Memorial Hospital	Attleboro, MA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Edward M Kennedy Community Health Center Inc	3476512740	60
Sturdy Health Inc	9537152806	187

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Phouangmaly Mimi Oupravanh allows following entities to bill medicare on her behalf.

Entity Name	Edward M Kennedy Community Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609842152 PECOS PAC ID: 3476512740 Enrollment ID: O20041004000840

Entity Name	Sturdy Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871515874 PECOS PAC ID: 9537152806 Enrollment ID: O20240830000458

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Phouangmaly Mimi Oupravanh is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Phouangmaly Mimi Oupravanh, DNP 45 Farnum St, Blackstone, MA 01504-2224 Ph: (401) 692-1516	Phouangmaly Mimi Oupravanh, DNP 538 Winthrop St, Rehoboth, MA 02769-1227 Ph: (508) 336-9200

Reviews and Comments

Nurse Practitioner Nurses in Rehoboth, MA

Ms. Jennifer Lynn Byrnes, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 538 Winthrop St, Rehoboth, MA 02769 Phone: 508-336-9200 Fax: 508-342-1917
Mrs. Natasha Lyn Dow, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 44 Danforth St, Rehoboth, MA 02769 Phone: 401-868-8255
Jaime Conlon, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 190 Winthrop St, Rehoboth, MA 02769 Phone: 774-526-3693
Mrs. Ashley Marie Botelho, MSN, RN, FNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 300 Summer St, Rehoboth, MA 02769 Phone: 401-862-9071
Margaret Sheridan Mock, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 23 Kelton St, Rehoboth, MA 02769 Phone: 508-252-6027

Phouangmaly Mimi Oupravanh, DNP - Medicare Nurse Practitioner in Rehoboth, MA