MRS. JENNIFER LYNN MIDTLIEN CNP NPI 1639489545

NPI Information

  • NPI: 1639489545
  • Provider Name: MRS. JENNIFER LYNN MIDTLIEN, CNP
  • Classification: Clinical Nurse Specialist - 364SA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5300 FAR HILLS AVE
    DAYTON, OH
    ZIP 45429
  • Phone: (937) 433-7536

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NPI Details

MRS. Jennifer Lynn Midtlien, CNP is an adult health clinical nurse specialist in Dayton, OH with 18 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 precancer skin growth, 2-14 growths (HCPCS:17003)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Destruction of precancer skin growth, 1 growth (HCPCS:17000)
  • Biopsy of related skin growth, first growth (HCPCS:11102)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Biopsy of related skin growth, each additional growth (HCPCS:11103)
  • Destruction of skin growth, 1-14 growths (HCPCS:17110)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Biopsy of ear (HCPCS:69100)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Destruction of precancer skin growth, 15 or more growths (HCPCS:17004)
  • Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm (HCPCS:17261)

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other 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: 11/21/2025

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