John Paul Mizelle, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-089397 Issued in AL

Practice address

2017 Obrig Ave
Guntersville, AL 35976-2156

Phone

(256) 582-2324

NPI assigned

Oct 17, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Family Care Arab LLCGroup PAC ID 1658671839, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Marshall Medical Centers Hospital, Boaz, AL, CCN 010005

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: john.mizelle.premierfamilycarearab@pfca.direct.systemedx.com
• Direct secure messaging: paul.mizelle.premierfamilycare@pfc.direct.systemedx.com

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

• Premier Family Care Arab LLC

  • Family Medicine Physician
  • Arab, AL
  • NPI 1245614049
  Medicare reassignment Care Compare group NPD
• Premier Family Care, LLC

  • Family Medicine Physician
  • Guntersville, AL
  • NPI 1831493675
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• HH Health System - Marshall LLC

  dba Marshall Medical Center

  • General Acute Care Hospital
  • Boaz, AL
  • NPI 1407313760
  Care Compare affiliation

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

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539734400000",
    "number": "1174099279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4534 BLAIRMONT DR SE",
            "city": "OWENS CROSS ROADS",
            "state": "AL",
            "postal_code": "357638013",
            "telephone_number": "256-679-7438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 OBRIG AVE",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359762156",
            "telephone_number": "256-582-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZELLE",
        "first_name": "JOHN",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-17",
        "last_updated": "2018-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-089397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel Christian Milligan, MD
• Tracey Irene Millsap, MS
• Jacqueline Danielle Mir, DO
• Averi Lynette Mitchell
• Brittany Michelle Mitchell
• Cynthia Lyn Monk, M.D.
• Rosie A Montgomery, MS
• Leeinda Shae Moore Bachelor, B.S.
• Camille Denise Moore, M.S.
• Leah W Moore, M.S.

• Family Nurse Practitioner in Guntersville, AL
• Providers in Guntersville, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; 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.