Raymond W Mick, CNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP07584 Issued in OH

Practice address

1092 Jefferson St
Greenfield, OH 45123-8319

Phone

(937) 981-1121

Fax

(937) 981-5660

NPI assigned

Aug 16, 2005

Last updated

Oct 2, 2012By 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

Other identifiers 8

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, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Highland Health Providers CorpGroup PAC ID 0244257848, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Special Touch Home Care LLC Home health agency, Manchester, OH, CCN 369123
• Adams County Homecare LLC Home health agency, Winchester, OH, CCN 367055
• Highland District Hospital Hospital, Hillsboro, OH, CCN 361332
• Greenfield Area Medical Center Hospital, Greenfield, OH, CCN 361304
• Adena Regional Medical Center Hospital, Chillicothe, OH, CCN 360159

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: raymondmick@hhproviders.allscriptsdirect.net
• Direct secure messaging: rmick114766@direct.trihealth.com

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.

• Highland Health Providers Corp

  • Federally Qualified Health Center (FQHC)
  • Hillsboro, OH
  • NPI 1396702445
  Medicare reassignment Care Compare group NPD
• Highland Health Providers Corp

  dba Winchester Medical Center

  • Federally Qualified Health Center (FQHC)
  • Winchester, OH
  • NPI 1881277507
  NPD

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

• Adams County Homecare, LLC

  • Home Health Agency
  • Winchester, OH
  • NPI 1306220298
  Care Compare affiliation
• Adena Health System

  dba Adena Regional Medical Center

  • General Acute Care Hospital
  • Chillicothe, OH
  • NPI 1902839673
  Care Compare affiliation
• Greenfield Area Medical Center

  • Critical Access Hospital
  • Greenfield, OH
  • NPI 1215960901
  Care Compare affiliation
• Highland District Hospital

  • Critical Access Hospital
  • Hillsboro, OH
  • NPI 1225053119
  Care Compare affiliation
• Special Touch Home Care LLC

  • Home Health Agency
  • Manchester, OH
  • NPI 1528267366
  Care Compare affiliation

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349136000000",
    "number": "1437141561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 637736",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452637736",
            "telephone_number": "513-891-1006",
            "fax_number": "513-793-1032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1092 JEFFERSON ST",
            "city": "GREENFIELD",
            "state": "OH",
            "postal_code": "451238319",
            "telephone_number": "937-981-1121",
            "fax_number": "937-981-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICK",
        "first_name": "RAYMOND",
        "middle_name": "W",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2012-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "NP07584",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN180620",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RHC MEDICAID 2ND FAC #",
            "identifier": "2355062",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RHC MEDICAID FACILITY #",
            "identifier": "2355053",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2499005",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRI-CARE",
            "identifier": "311674981005",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000344735",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RHC MEDICARE 2ND FAC NUM",
            "identifier": "363843",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RHC MEDICARE FAC #",
            "identifier": "363844",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRI-CARE 2ND FACILITY #",
            "identifier": "311674981002",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda McGraw
• Brooke McLees
• Elizabeth McMurray
• Julia McMurray
• Loren E McReynolds, D.C.
• Danette Miller, LPCC
• Stacey Mitchell
• Richard D Mizer, MD
• Andrea Sue Moore, LPN
• Robert Daniel Mullins, RPH

• Nurse Practitioner in Greenfield, OH
• Providers in Greenfield, OH by specialty
• Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; 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.