MISS MIA DERITIS – Physician Assistant, NPI 1073063012
Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
3,578 PHYSICIAN ASSISTANT in NJ
Provider Addresses for MISS MIA DERITIS
1 CAPITAL WAY
PENNINGTON, NJ 085342520
Phone: (800) 637-2374
Type: Location
2 CAPITAL WAY
STE 456
PENNINGTON, NJ 085342521
Phone: (610) 888-7943
Type: Mailing
2 CAPITAL WAY STE 456
PENNINGTON, NJ 085342521
Phone: (609) 537-7300
Fax: (609) 537-7301
Type: Location
1925 Pacific Ave
Atlantic City, NJ 084016713
Phone: (609) 449-4373
Fax: (609) 441-8178
Type: Location
2 Capital Way Ste 456
Pennington, NJ 085342521
Phone: (609) 537-7300
Fax: (609) 537-7301
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $18.
Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.
Last reported payment date: 2023-01-24 • Largest payer in this snapshot: Chiesi USA, Inc. ($18).
Total Amount
$18
General + Research + Ownership
Payments
1
Total payment records
General Amount
$18
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-01-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Chiesi USA, Inc. | $18 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-06-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190613000177 | I | Physician Assistant | NJ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 14 | 13 | $0 |
| 76937 | Ultrasonic guidance for blood vessel access | 13 | 13 | $0 |
Insurance plans in this area (ZIP 08534)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease, Critical Care (Intensivists) | NJ | |
| - | NJ | |
| - | NJ | |
| Nurse Practitioner | NJ | |
| Physician Assistant | NJ | |
| - | NJ | |
| N E U R O L O G Y | NJ | |
| Physician Assistant | PA | |
| Nurse Practitioner | NJ | |
| Infectious Disease, Internal Medicine | PA |
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