Midwestern Mobility LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

MIDWESTERN MOBILITY LLC

Practice address

816 N Seltzer St
Crestline, OH 44827-9481

Phone

(419) 468-1555

Fax

(419) 468-3119

NPI assigned

Apr 4, 2024

Organization subpart

No

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

Authorized official

Name

Jacqueline BaileyNPI 1174002133

Title

Co- Owner

Phone

(419) 468-1555

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacqueline Bailey, CP

  • Prosthetist
  • Mansfield, OH
  • NPI 1174002133
  NPD Authorized official

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

{
    "created_epoch": "1712188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756339200000",
    "number": "1083466643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 N SELTZER ST",
            "city": "CRESTLINE",
            "state": "OH",
            "postal_code": "448279481",
            "telephone_number": "419-468-1555",
            "fax_number": "419-468-3119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 N SELTZER ST",
            "city": "CRESTLINE",
            "state": "OH",
            "postal_code": "448279481",
            "telephone_number": "419-468-1555",
            "fax_number": "419-468-3119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWESTERN MOBILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-04",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "CO- OWNER",
        "authorized_official_telephone_number": "419-468-1555"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connie Ann Martin, REGISTERED NURSE
• Ada Lynn Mason, LPN
• Kelly Jo McCartney, LPN
• Tracy McDaniel, ED.S
• Sarah Metzger, MD
• Jenna Mae Miller, CNP
• Roberta J Miller, LPN
• Elizabeth Ann Nunziante, LPN
• Penny Michelle Oiler, RN
• Stacy M Pope, R.N.

• Prosthetic/Orthotic Supplier in Crestline, OH
• Providers in Crestline, OH by specialty
• Prosthetic/Orthotic Supplier in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.