Individual provider Active NPI

Natalie M Mitzel, NP-C

  • Family Nurse Practitioner
  • Massillon, OH
National Provider Identifier
1528360583
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.12000-NP Issued in OH
Practice address
2823 Aaronwood Ave NE
Massillon, OH 44646-2371
Phone
(330) 830-8666
Fax
(330) 832-3499
NPI assigned
Nov 24, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X COA.12000-NP OH Primary

Addresses

Primary practice location

2823 Aaronwood Ave NE
Massillon, OH 44646-2371

Mailing address

7467 Aramis St NW
Massillon, OH 44646-1993
Phone (330) 830-8666

Other practice location 1

209 Merriman Rd
Akron, OH 44303-1904
Phone (731) 394-1145

Other identifiers 1

IdentifierTypeStateIssuer
COA.12000-NPOtherOHI LICENSE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110124000718 OH Practitioner - Nurse Practitioner 3072792001 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aultman Deuble Heart and Vascular Hospital, LLCGroup PAC ID 1850726126, 109 clinicians

Practice addresses (Care Compare)

2600 6TH St SW
Canton, OH 44710-1702
Phone (330) 454-8076

Hospital & facility affiliations

  • Aultman Hospital Hospital, Canton, OH, CCN 360084
  • Aultman Orrville Hospital Hospital, Orrville, OH, CCN 361323

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
COA.12000-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Hematology & Oncology Associates Inc CurrentSince Aug 25, 2023 Accepting new patients
Aultman Deuble Heart & Vascular Hospital, LLC CurrentSince Jan 6, 2020 Accepting new patients
Crossroads Hospice of Northeast Ohio, LLC CurrentSince Nov 6, 2022 Accepting new patients
Cardiovascular Consultants, Inc. Past Accepting new patients

Locations

2600 6th St SW
Ste A2800
Canton, OH 44710

2600 6th St SW
Ste A2710
Canton, OH 44710
Phone (330) 429-5656

2600 6th St SW
#A2800
Canton, OH 44710

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

2600 6th St SW
#A2
Canton, OH 44710
Phone (330) 363-1342

3743 Boettler Oaks Dr
Ste E
Green, OH 44685
Phone (330) 899-9100

7337 Caritas Cir NW
Ste 150
Massillon, OH 44646
Phone (330) 478-0001

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 2

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": "1290556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1528360583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7467 ARAMIS ST NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446461993",
            "telephone_number": "330-830-8666",
            "fax_number": "330-832-3499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2823 AARONWOOD AVE NE",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446462371",
            "telephone_number": "330-830-8666",
            "fax_number": "330-832-3499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 Merriman Rd",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "443031904",
            "country_code": "US",
            "telephone_number": "731-394-1145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITZEL",
        "first_name": "NATALIE",
        "middle_name": "M",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-24",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.12000-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHI LICENSE",
            "identifier": "COA.12000-NP",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Massillon, OH

Sources for this page

Verify at the official NPI Registry.