Individual provider Active NPI

Mia Jeanette Zetter

  • Family Nurse Practitioner
  • Berea, KY
National Provider Identifier
1538880588
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3018051 Issued in KY
Practice address
104 Legacy Dr
Berea, KY 40403-9594
Phone
(859) 986-2323
NPI assigned
Sep 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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 3018051 KY Primary

Addresses

Primary practice location

104 Legacy Dr
Berea, KY 40403-9594

Mailing address

3409 Milam LN Apt 329
Lexington, KY 40502-3630
Phone (503) 860-7816

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20221122000735 KY Practitioner - Nurse Practitioner 9335517457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Help IncorporatedGroup PAC ID 8224946561, 43 clinicians

Practice addresses (Care Compare)

401 Highland Park Dr
Richmond, KY 40475-3839
Phone (859) 626-7700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Health Help Incorporated CurrentSince Sep 19, 2022 Accepting new patients
Health Help Incorporated Current Accepting new patients
Health Help Incorporated Current Accepting new patients
Health Help Incorporated CurrentSince Sep 19, 2022 Accepting new patients
Health Help Incorporated Current Accepting new patients
Health Help Incorporated Current Accepting new patients
Health Help Incorporated Current Accepting new patients
Health Help Incorporated Current Accepting new patients

Locations

305 Estill St
Berea, KY 40403
Phone (859) 986-1415

104 Legacy Dr
Berea, KY 40403
Phone (858) 986-2323

30 Stacy Lane Rd
Irvine, KY 40336
Phone (606) 723-0665

103 Southern Soul Way
Lancaster, KY 40444
Phone (855) 942-7787

1010 Main St S
McKee, KY 40447
Phone (606) 287-7104

116 Progress Dr
Mount Vernon, KY 40456
Phone (606) 256-2143

401 Highland Park Dr
Richmond, KY 40475
Phone (859) 626-7700

Organizations & group practices 8

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": "1662595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1538880588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 MILAM LN APT 329",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405023630",
            "telephone_number": "503-860-7816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 LEGACY DR",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404039594",
            "telephone_number": "859-986-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZETTER",
        "first_name": "MIA",
        "middle_name": "JEANETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-08",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3018051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berea, KY

Sources for this page

Verify at the official NPI Registry.