Nicholas A Mietus, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2854 Issued in OK

Practice address

309 SE Frank Phillips Blvd
Bartlesville, OK 74003-3643

Phone

(918) 214-8888

Fax

(918) 214-8887

NPI assigned

Dec 27, 2017

Last updated

Jan 4, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

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

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northern Oklahoma DermatologyGroup PAC ID 7810344637, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Northern Oklahoma Dermatology

  • Dermatology Physician
  • Bartlesville, OK
  • NPI 1326823485
  Medicare reassignment Care Compare group Authorized official
• Hill Dermatology, PLLC

  • Dermatology Physician
  • Bartlesville, OK
  • NPI 1073912499
  Medicare reassignment

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

{
    "created_epoch": "1514332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1306352422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 SE FRANK PHILLIPS BLVD",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740033643",
            "telephone_number": "918-214-8888",
            "fax_number": "918-214-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 SE FRANK PHILLIPS BLVD",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740033643",
            "telephone_number": "918-214-8888",
            "fax_number": "918-214-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIETUS",
        "first_name": "NICHOLAS",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-27",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "2854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Lynn Mendez, APRN-CNP
• Brook Ann Metts
• Kameron Noelle Meyer
• Michael L Peaster M D P C
• Michael R. Collins, MD, PC
• Timikka Miles
• Brenda Joyce Miller, M.S.
• Katherine Lynn Miller
• Kim Halverson Miller, LPC
• Kimberly Miller, R.N.

• Physician Assistant in Bartlesville, OK
• Providers in Bartlesville, OK by specialty
• Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.