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MRS. JENNIFER LYNN MIDTLIEN CNP NPI 1639489545


NPI Information

NPI: 1639489545
Provider Name: MRS. JENNIFER LYNN MIDTLIEN, CNP
Classification: Clinical Nurse Specialist - 364SA2200X
Entity Type: Individual

Specialization: Adult Health

Organization: DERMATOLOGISTS OF SOUTHWESTERN OHIO, LLC

PECOS Registration: Yes

Address:
5300 FAR HILLS AVE
DAYTON, OH
ZIP 45429
Phone: (937) 433-7536
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MRS. Jennifer Lynn Midtlien, CNP is an adult health clinical nurse specialist in Dayton, OH with 16 years of experience. MRS. Jennifer Lynn Midtlien, CNP NPI is 1639489545. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5300 FAR HILLS AVE
DAYTON, OH
ZIP 45429-381
Phone: (937) 433-7536
Fax: (937) 433-9612

The NPI 1639489545 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Destruction of 2-14 skin growths (HCPCS:17003)
  • Biopsy of single growth of skin and/or tissue (HCPCS:11100)
  • Destruction of skin growth (HCPCS:17000)
  • Biopsy of each additional growth of skin and/or tissue (HCPCS:11101)
  • Destruction of up to 14 skin growths (HCPCS:17110)

The enumeration date for this NPI number is 10/13/2010 and was last updated on 8/3/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163W00000XRegistered NurseRN260615OHIONo
2364SA2200XClinical Nurse SpecialistAdult Health11935-NPOHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1P01005063OTHEROHIORR MEDICARE
2H059680MEDICARE PINOHIO
39328817OTHEROHIOAETNA
4421534506186OTHEROHIOCARESOURCE OHIO
50058747MEDICAIDOHIO
6000000745200OTHEROHIOANTHEM BCBS OH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.