Individual provider Active NPI

Misty Mokrycki, APRN

  • Women's Health Nurse Practitioner
  • Dayton, OH
National Provider Identifier
1962786731
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
12419 Issued in OH
Practice address
2591 Miamisburg Centerville Rd Ste 201
Dayton, OH 45459-3706
Phone
(937) 439-5252
Fax
(937) 439-9242
NPI assigned
Sep 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 12419 OH Primary

Addresses

Primary practice location

2591 Miamisburg Centerville Rd Ste 201
Dayton, OH 45459-3706

Mailing address

900 Crossbow LN
Troy, OH 45373-6720
Phone (937) 477-2586

Other practice location 1

100 Kahoe Ln
Yellow Springs, OH 45387-1243
Phone (937) 376-9731

Other practice location 2

330 N Main St Ste 101
Centerville, OH 45459-4459
Phone (937) 435-1445

Other practice location 3

2350 Miami Valley Dr Ste 420
Centerville, OH 45459-4778
Phone (937) 208-4110

Other practice location 4

1 Wyoming St Ste 3100B
Dayton, OH 45409-2722
Phone (937) 208-4110

Other practice location 5

7707 Paragon Rd Ste 106
Centerville, OH 45459-4070
Phone (937) 208-4110

Other practice location 6

161 Wyoming St Ste 100W
Dayton, OH 45409-2741
Phone (937) 208-0500

Other practice location 7

725 University Blvd
Beavercreek, OH 45324-2640
Phone (937) 208-6810

Other identifiers 1

IdentifierTypeStateIssuer
0080919MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mmokrycki519652@direct.ketteringhealth.org
FHIR URL https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/

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
I20160627001563 OH Practitioner - Nurse Practitioner 4981834751 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Health Specialists IncGroup PAC ID 5597708594, 576 clinicians

Practice addresses (Care Compare)

1 Wyoming St
Dayton, OH 45409-2722
Phone (937) 208-8000

Merit-based Incentive Payment System (MIPS)

Final score
81.38 of 100Reported as group
Quality
66.25
Promoting interoperability
100
Improvement activities
40
Cost
71.69

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12419OHMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kettering Independent Medical Group Inc CurrentSince Dec 29, 2022 Accepting new patients
Premier Health Specialists Inc CurrentSince Jun 19, 2023 Accepting new patients
Premier Health Specialists Inc Current Accepting new patients
Premier Health Specialists Inc CurrentSince Jun 19, 2023 Accepting new patients
Premier Heart Associates, Inc Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

2350 Miami Valley Dr
Ste 420
Centerville, OH 45459
Phone (937) 208-4110

330 N Main St
Ste 101
Centerville, OH 45459
Phone (937) 435-1445

7707 Paragon Rd
Ste 106
Dayton, OH 45459
Phone (937) 208-4110

1 Wyoming St
Ste 3100B
Dayton, OH 45409
Phone (937) 208-4110

30 E Apple St
#6258
Dayton, OH 45409
Phone (937) 208-5300

1 Wyoming St
Ste 4130
Dayton, OH 45409
Phone (937) 208-6810

161 Wyoming St
Ste 100W
Dayton, OH 45409
Phone (937) 208-0500

1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636

2591 Miamisburg Centerville Rd
Ste 201
Dayton, OH 45459

1 Wyoming St
Ste 3100
Dayton, OH 45409
Phone (379) 208-4110

8701 Old Troy Pike
Ste 40B
Huber Heights, OH 45424
Phone (937) 439-6242

4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910

1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306

400 Sugar Camp Cir
Ste 101
Oakwood, OH 45409
Phone (937) 245-7777

450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773

100 Kahoe Ln
Yellow Springs, OH 45387
Phone (937) 767-7311

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1317168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1962786731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CROSSBOW LN",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453736720",
            "telephone_number": "937-477-2586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2591 MIAMISBURG CENTERVILLE RD STE 201",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454593706",
            "telephone_number": "937-439-5252",
            "fax_number": "937-439-9242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Kahoe Ln",
            "address_purpose": "LOCATION",
            "city": "Yellow Springs",
            "state": "OH",
            "postal_code": "453871243",
            "country_code": "US",
            "telephone_number": "937-376-9731",
            "fax_number": "937-757-7107",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "330 N Main St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Centerville",
            "state": "OH",
            "postal_code": "454594459",
            "country_code": "US",
            "telephone_number": "937-435-1445",
            "fax_number": "937-439-7552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2350 Miami Valley Dr Ste 420",
            "address_purpose": "LOCATION",
            "city": "Centerville",
            "state": "OH",
            "postal_code": "454594778",
            "country_code": "US",
            "telephone_number": "937-208-4110",
            "fax_number": "937-208-6260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Wyoming St Ste 3100B",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454092722",
            "country_code": "US",
            "telephone_number": "937-208-4110",
            "fax_number": "937-208-2139",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7707 Paragon Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Centerville",
            "state": "OH",
            "postal_code": "454594070",
            "country_code": "US",
            "telephone_number": "937-208-4110",
            "fax_number": "937-208-6260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "161 Wyoming St Ste 100W",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454092741",
            "country_code": "US",
            "telephone_number": "937-208-0500",
            "fax_number": "937-641-7072",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "725 University Blvd",
            "address_purpose": "LOCATION",
            "city": "Beavercreek",
            "state": "OH",
            "postal_code": "453242640",
            "country_code": "US",
            "telephone_number": "937-208-6810",
            "fax_number": "937-208-2030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOKRYCKI",
        "first_name": "MISTY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-28",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OH",
            "license": "12419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0080919",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmokrycki519652@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "2591 Miamisburg Centerville Rd Ste 201",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454593706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "2591 Miamisburg Centerville Rd Ste 201",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454593706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.