Individual provider Active NPI

John Peabody Mikes, MS, APRN, NP-C

  • Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1245833425
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0027339 Issued in OH
Practice address
1237 Norwell Dr
Columbus, OH 43220-3958
Phone
(614) 893-3668
NPI assigned
Nov 19, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0027339 OH Primary

Addresses

Primary practice location

1237 Norwell Dr
Columbus, OH 43220-3958

Mailing address

1237 Norwell Dr
Columbus, OH 43220-3958
Phone (614) 893-3668

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmikes271369@direct.wvuhsdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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

Enrollment IDStateProvider typePAC IDDetails
I20210323001935 WV Practitioner - Nurse Practitioner 6305253121 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Virginia University Medical CorporationGroup PAC ID 1052224565, 1,974 clinicians
City Hospital IncGroup PAC ID 3375444524, 155 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Morgantown, WV 26506-1200
Phone (304) 598-4865

2500 Hospital Dr
Martinsburg, WV 25401-3402
Phone (304) 264-1000

61 Campus Dr
Martinsburg, WV 25404-7542

Hospital & facility affiliations

  • Berkeley Medical Center Hospital, Martinsburg, WV, CCN 510008

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0027339OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia University Medical Corporation CurrentSince Jan 1, 2023 Accepting new patients
West Virginia University Medical Corporation CurrentSince Jan 1, 2023 Accepting new patients
City Hospital, Inc. Nurse Practitioner CurrentSince Feb 6, 2026 Accepting new patients

Locations

2000 Foundation Way
Ste 3100
Martinsburg, WV 25401
Phone (304) 260-1436

61 Campus Dr
Ste 130
Martinsburg, WV 25404
Phone (304) 725-2663

61 Campus Dr
Ste 104
Martinsburg, WV 25404
Phone (304) 596-5615

2500 Foundation Way
Martinsburg, WV 25401
Phone (304) 264-9202

2500 Hospital Dr
Martinsburg, WV 25401
Phone (304) 233-4134

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

Interoperability endpoints

  • Direct secure messaging: jmikes271369@direct.wvuhsdirect.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1245833425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1237 NORWELL DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432203958",
            "telephone_number": "614-893-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1237 NORWELL DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432203958",
            "telephone_number": "614-893-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKES",
        "first_name": "JOHN",
        "middle_name": "PEABODY",
        "credential": "MS, APRN, NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-19",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "0027339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmikes271369@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "14 CAMPUS DR 5TE 104",
            "city": "MARTINSBURG",
            "state": "WV",
            "country_code": "US",
            "postal_code": "25404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.