Individual provider Active NPI

Mitzi Anne Garrison, FNP

  • Nurse Practitioner
  • Mason City, IA
National Provider Identifier
1730150749
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
174573 Issued in CO
Practice address
1000 4TH St SW
Mason City, IA 50401-2800
Phone
(641) 428-6320
NPI assigned
Jan 28, 2006
Last updated
Nov 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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 174573 CO Primary

Addresses

Primary practice location

1000 4TH St SW
Mason City, IA 50401-2800

Mailing address

220 E Beaver Ave
Fort Morgan, CO 80701-3103
Phone (970) 867-8221

Other practice location 1

220 E Beaver Ave
Fort Morgan, CO 80701-3103
Phone (970) 867-8221

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mitzi.garrison@direct.2.mycarefile.org Direct MercyOne North Iowa Medical Center

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20221004001883 OR Practitioner - Nurse Practitioner 5890750228 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
174573COMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sky Lakes Medical Center Inc CurrentSince Aug 30, 2022 Accepting new patients
Sky Lakes Medical Center Inc CurrentSince Aug 30, 2022 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients
Yuma District Hospital Past Accepting new patients
Health Stop LLC Past Accepting new patients
East Morgan County Hospital Past Accepting new patients
Vail Clinic, Inc. Past Accepting new patients

Locations

2610 Uhrmann Rd
Klamath Falls, OR 97601
Phone (541) 274-4171

2865 Daggett Ave
Klamath Falls, OR 97601
Phone (541) 274-6221

Interoperability endpoints

  • Direct secure messaging: mitzi.garrison@direct.2.mycarefile.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1138406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1730150749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 E BEAVER AVE",
            "city": "FORT MORGAN",
            "state": "CO",
            "postal_code": "807013103",
            "telephone_number": "970-867-8221",
            "fax_number": "970-867-7124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 4TH ST SW",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504012800",
            "telephone_number": "641-428-6320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 E Beaver Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Morgan",
            "state": "CO",
            "postal_code": "807013103",
            "country_code": "US",
            "telephone_number": "970-867-8221",
            "fax_number": "970-867-7124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARRISON",
        "first_name": "MITZI",
        "middle_name": "ANNE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-28",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "174573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mitzi.garrison@direct.2.mycarefile.org",
            "affiliation": "Y",
            "endpointDescription": "MercyOne North Iowa Direct Email Address",
            "affiliationName": "MercyOne North Iowa Medical Center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1000 4th St SW",
            "city": "Mason City",
            "state": "IA",
            "country_code": "US",
            "postal_code": "504012800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mason City, IA

Sources for this page

Verify at the official NPI Registry.