Jennifer R. Mizak, P.N.P.

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

RN173074 Issued in OH

Practice address

15201 Euclid Ave
East Cleveland, OH 44112-2803

Phone

(216) 541-5600

NPI assigned

Oct 12, 2006

Last updated

Nov 20, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jennifer.mizakpnp.p1@direct.neon.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northeast Ohio Neighborhood Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Cleveland, OH
  • NPI 1851302665
  Medicare reassignment NPD
• Northeast Ohio Neighborhood Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Cleveland, OH
  • NPI 1407874589
  NPD
• Northeast Ohio Neighborhood Health Services, Inc.

  • Primary Care Clinic/Center
  • Cleveland, OH
  • NPI 1508877739
  NPD
• Northeast Ohio Neighborhood Health Services, Inc.

  dba NEON Health Svcs., Medical Mobile Unit

  • Federally Qualified Health Center (FQHC)
  • Cleveland, OH
  • NPI 1659194595
  NPD
• Northeast Ohio Neighborhood Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • East Cleveland, OH
  • NPI 1033142989
  NPD (past)
• Northeast Ohio Neighborhood Health Services, Inc.

  dba NEON Panther Wellness Center-Euclid SBHC

  • Federally Qualified Health Center (FQHC)
  • Euclid, OH
  • NPI 1881319283
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447977600000",
    "number": "1033208186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15201 EUCLID AVE",
            "city": "EAST CLEVELAND",
            "state": "OH",
            "postal_code": "441122803",
            "telephone_number": "216-541-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15201 EUCLID AVE",
            "city": "EAST CLEVELAND",
            "state": "OH",
            "postal_code": "441122803",
            "telephone_number": "216-541-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZAK",
        "first_name": "JENNIFER",
        "middle_name": "R.",
        "credential": "P.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2015-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OH",
            "license": "RN173074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2135373",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alvin L Milligan
• Ashlee Mitchell
• Deandra Jenae Mitchell
• Shaionte Mitchell
• Siana Garmai Mitchell, R.N.
• Makayla Molton
• Cynthia Honey Delorse Moore, L.P.N.
• Ariane Maria Morris Ferguson
• Sherri P Morris
• William Larry Murph

• Pediatric Nurse Practitioner in East Cleveland, OH
• Providers in East Cleveland, OH by specialty
• Pediatric Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.