Mijanou D Marretta-Lewis, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN.CNP.022588 Issued in OH

Practice address

1989 Miamisburg Centerville Rd Ste 301
Centerville, OH 45459-3858

Phone

(937) 434-7353

Fax

(937) 438-6569

NPI assigned

Apr 26, 2018

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

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Providence Medical GroupGroup PAC ID 2860386349, 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kettering Health Dayton Hospital, Dayton, OH, CCN 360133
• Kettering Health Miamisburg Hospital, Miamisburg, OH, CCN 360239
• Kettering Health Main Campus Hospital, Kettering, OH, CCN 360079

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/237/brand/1/csg/41/fhir/r4
• Direct secure messaging: mijanou.marretta-lewis.1@237.direct.athenahealth.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.

• Providence Medical Group

  • Family Medicine Physician
  • Dayton, OH
  • NPI 1972533149
  Medicare reassignment Care Compare group
• Providence Medical Group

  • Clinical Medical Laboratory
  • Moraine, OH
  • NPI 1760658371
  NPD (past)

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

• Dayton Osteopathic Hospital

  • General Acute Care Hospital
  • Dayton, OH
  • NPI 1053339507
  Care Compare affiliation
• Kettering Medical Center

  • General Acute Care Hospital
  • Kettering, OH
  • NPI 1043233984
  Care Compare affiliation
• Kettering Medical Center

  • General Acute Care Hospital
  • Miamisburg, OH
  • NPI 1316966518
  Care Compare affiliation

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

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1235627142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1989 MIAMISBURG CENTERVILLE RD STE 301",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454593858",
            "telephone_number": "937-434-7353",
            "fax_number": "937-438-6569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1989 MIAMISBURG CENTERVILLE RD STE 301",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454593858",
            "telephone_number": "937-434-7353",
            "fax_number": "937-438-6569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRETTA-LEWIS",
        "first_name": "MIJANOU",
        "middle_name": "D",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-26",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.022588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwen Manuel
• Valerie Jeanne Marcotte, M.A., CCC-A
• Melissa J Markham, LISW
• Beatrice Marks
• Maria Luisa Marques de Sousa
• Shawnmari Marshall-Kaiser
• William Fish Marsteller III, D.C.
• Abigael Martin
• Ashley Martin
• Lindsay D Marton, MD

• 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 Jul 17, 2025; 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.