Individual provider Active NPI

Mia Niccole Swayne, FNP-C

  • Family Nurse Practitioner
  • Mount Orab, OH
National Provider Identifier
1740023589
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0036860 Issued in OH
Practice address
210 Sterling Run Blvd
Mount Orab, OH 45154-8395
Phone
(937) 444-6995
NPI assigned
Jun 18, 2024
Last updated
Jul 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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 APRN.CNP.0036860 OH Primary

Addresses

Primary practice location

210 Sterling Run Blvd
Mount Orab, OH 45154-8395

Mailing address

210 Sterling Run Blvd
Mount Orab, OH 45154-8395
Phone (937) 217-4585

Other names 1

  • Mia Niccole Morgan Other name

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
I20241203003543 OH Practitioner - Nurse Practitioner 5496281289 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Little Clinic of Ohio LLCGroup PAC ID 7719087584, 212 clinicians

Practice addresses (Care Compare)

11100 State Route 41
West Union, OH 45693-8806
Phone (937) 544-0400

19262 State Route 136
Winchester, OH 45697-9571
Phone (937) 695-0770

210 Sterling Run Blvd
Mount Orab, OH 45154-8350
Phone (937) 444-6995

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0036860OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adams County Regional Medical Center CurrentSince Feb 18, 2025 Accepting new patients
Adams County Regional Medical Center CurrentSince Feb 18, 2025 Accepting new patients
The Little Clinic of Ohio LLC Family CurrentSince Oct 16, 2024 Accepting new patients

Locations

199 Graceland Blvd
Columbus, OH 43214
Phone (614) 410-2814

210 Sterling Run Blvd
Mount Orab, OH 45154
Phone (937) 444-5014

230 Medical Center Dr
Seaman, OH 45679
Phone (937) 386-3400

Interoperability endpoints

  • Direct secure messaging: swayne.mia.1@18549.direct.athenahealth.com

Organizations & group practices 3

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.

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": "1718668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1740023589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 STERLING RUN BLVD",
            "city": "MOUNT ORAB",
            "state": "OH",
            "postal_code": "451548395",
            "telephone_number": "937-217-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 STERLING RUN BLVD",
            "city": "MOUNT ORAB",
            "state": "OH",
            "postal_code": "451548395",
            "telephone_number": "937-444-6995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAYNE",
        "first_name": "MIA",
        "middle_name": "NICCOLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-18",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0036860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIA",
            "last_name": "MORGAN",
            "middle_name": "NICCOLE",
            "credential": "FNP-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mount Orab, OH

Sources for this page

Verify at the official NPI Registry.