Marie Middleton, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

COA.18955-NP Issued in OH

Practice address

7740 Washington Village Dr
Ste 120
Centerville, OH 45459-4056

Phone

(937) 439-7411

Fax

(937) 433-8030

NPI assigned

Jun 15, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

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

Merit-based Incentive Payment System (MIPS)

Final score

87.23 of 100Reported as group

Quality

83.64

Promoting interoperability

100

Improvement activities

40

Cost

73.78

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Mvhe Inc

  • Family Medicine Physician
  • Moraine, OH
  • NPI 1659504785
  Medicare reassignment NPD
• Mvhe Inc

  dba Miami Valley Hospitalist Group

  • Hospitalist Physician
  • Dayton, OH
  • NPI 1356394795
  NPD
• Mvhe Inc

  dba Middletown Medical Group

  • Internal Medicine Physician
  • Middletown, OH
  • NPI 1497154827
  NPD

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1053761627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 E SPRING VALLEY PIKE",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454582653",
            "telephone_number": "937-436-3117",
            "fax_number": "937-436-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7740 WASHINGTON VILLAGE DR",
            "address_2": "STE 120",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594056",
            "telephone_number": "937-439-7411",
            "fax_number": "937-433-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDDLETON",
        "first_name": "MARIE",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-15",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.18955-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0181525",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmiddleton578291@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "220 E Spring Valley Pike",
            "city": "Centerville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454582653",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "220 E Spring Valley Pike",
            "city": "Centerville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454582653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Patrick U Mezu, MD
• Miami Valley CCK Laboratory
• Miami Valley Medical Supplies Inc. (Centerville LTC Pharmacy)
• Michael a Krumnauer DDS Inc.
• Caren Michael, APRN-CNP
• Midwest Federal Injury Group (Federal Injury Centers of Dayton)
• Midwest Vein Treatment Clinic Inc
• Eleina Mikhaylov, MD
• Heather Breanne Miles, APRN
• Pamela Miller-Girton, RN, LISW

• Family Nurse Practitioner in Centerville, OH
• Providers in Centerville, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.