Active NPI
Mishelle Lynn Mowry, NP
- Family Nurse Practitioner
- Columbus, OH
National Provider Identifier
1831445329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- COA.13612-NP
- Practice address
- 2260 Morse Rd
Columbus, OH 43229-5858 - Phone
- (614) 702-7899
- Fax
- (614) 706-1570
- NPI assigned
- Aug 2, 2012
- Last updated
- Aug 12, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | COA.13612-NP | OH | Primary |
Addresses
Primary practice location
2260 Morse Rd
Columbus, OH 43229-5858
Mailing address
PO Box 211699
Saint Paul, MN 55121-3699
Phone (866) 849-0692
Other practice location 1
PO Box 211699
Eagan, MN 55121-3699
Phone (866) 849-0692
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA.13612-NP | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dedicated Columbus Ohio, LLC | Current | Accepting new patients |
Locations
1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760
2260 Morse Rd
Columbus, OH 43229
Phone (305) 831-4453
Organizations & group practices 1
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": "1343865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786492800000",
"number": "1831445329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 211699",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551213699",
"telephone_number": "866-849-0692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2260 MORSE RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432295858",
"telephone_number": "614-702-7899",
"fax_number": "614-706-1570"
}
],
"practiceLocations": [
{
"address_1": "PO Box 211699",
"address_purpose": "LOCATION",
"city": "Eagan",
"state": "MN",
"postal_code": "551213699",
"country_code": "US",
"telephone_number": "866-849-0692",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOWRY",
"first_name": "MISHELLE",
"middle_name": "LYNN",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-02",
"last_updated": "2026-08-12",
"certification_date": "2026-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "COA.13612-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.