Active NPI
Misty Mokrycki, APRN
- Women's Health Nurse Practitioner
- Dayton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 12419
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0080919 | Medicaid | OH |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 12419 | OH | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kettering Independent Medical Group Inc | Current | Accepting new patients | |
| Premier Health Specialists Inc | Current | Accepting new patients | |
| Premier Health Specialists Inc | Current | Accepting new patients | |
| Premier Health Specialists Inc | Current | 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.
-
- Internal Medicine Physician
- Moraine, OH
- NPI 1194958223
-
- Orthopaedic Surgery Physician
- Miamisburg, OH
- NPI 1629387865
-
- Obstetrics & Gynecology Physician
- Springboro, OH
- NPI 1558667261
-
- Foot & Ankle Surgery Podiatrist
- Dayton, OH
- NPI 1902211287
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Cardiovascular Disease Physician
- Beavercreek, OH
- NPI 1538188735
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.