Active NPI
Tiffany Nicole Mitchell, NP
- Gerontology Nurse Practitioner
- Oakwood, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- AG08230123
- Practice address
- 1110 Oakwood Ave
Oakwood, OH 45419-2911 - Phone
- (937) 885-7163
- NPI assigned
- Aug 31, 2023
- Last updated
- Oct 5, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | AG08230123 | OH | Primary |
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | AG08230123 | OH | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | AG08230123 | OH |
Addresses
Primary practice location
1110 Oakwood Ave
Oakwood, OH 45419-2911
Mailing address
10357 S Union Rd
Miamisburg, OH 45342-4617
Phone (937) 286-7457
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1390 King Tree Dr
Dayton, OH 45405-1401
Phone (937) 885-7163
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AG08230123 | OH | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jewel a Stevens MD LLC | Current | Accepting new patients | |
| Comprehensive Geriatric Care, LLC | Geriatric Medicine | Current | Accepting new patients |
Locations
1390 King Tree Dr
Dayton, OH 45405
Phone (718) 280-5436
300 Business Pkwy
Franklin, OH 45005
Phone (937) 746-2813
Organizations & group practices 2
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.
-
- Geriatric Medicine (Family Medicine) Physician
- Oakwood, OH
- NPI 1598945230
-
- Family Medicine Physician
- Carlisle, OH
- NPI 1295913119
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba PurposeCare of Ohio
- Home Health Agency
- Cincinnati, OH
- NPI 1629522206
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791158400000",
"number": "1104602614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10357 S UNION RD",
"city": "MIAMISBURG",
"state": "OH",
"postal_code": "453424617",
"telephone_number": "937-286-7457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 OAKWOOD AVE",
"city": "OAKWOOD",
"state": "OH",
"postal_code": "454192911",
"telephone_number": "937-885-7163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "TIFFANY",
"middle_name": "NICOLE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-31",
"last_updated": "2026-10-05",
"certification_date": "2026-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "OH",
"license": "AG08230123",
"primary": true
},
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "OH",
"license": "AG08230123",
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "OH",
"license": "AG08230123",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakwood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; 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.