MARIE MIDDLETON (NP-C) – Family Nurse Practitioner, NPI 1053761627

MARIE MIDDLETON (NP-C) is a healthcare provider. based in Centerville, Ohio. specializing in Family Nurse Practitioner. They hold the professional credentials NP-C. They hold a License No. COA.18955-NP (OH). The NPI Number for MARIE MIDDLETON (NP-C) is 1053761627

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
MARIE MIDDLETON (NP-C)
NPI
1053761627
Phone
(937) 439-7411
Address
7740 WASHINGTON VILLAGE DR
Enumeration Date
15 June 2016
Last Update Date
13 January 2021

Doctor Profile

Medical School Name
UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Secondary Phone
9374363117
Graduation Year
2015 (11 years ago)
PAC ID
4981995586
Group Practice PAC ID
0840104360
Professional Enrollment ID
I20160628002070

Contacts

Secure Messaging
mmiddleton578291@direct.ketteringhealth.org
FHIR Endpoint
https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:10State licenses:1Other namesUpdated within 12 months

Provider Addresses for MARIE MIDDLETON (NP-C)

  • 7740 WASHINGTON VILLAGE DR

    STE 120

    CENTERVILLE, OH 454594056

    Phone: (937) 439-7411

    Fax: (937) 433-8030

    Type: Location

  • 220 E SPRING VALLEY PIKE

    CENTERVILLE, OH 454582653

    Phone: (937) 436-3117

    Fax: (937) 436-0730

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2016-06-28

PECOS data refreshed: 2026-06-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160628002070INurse PractitionerOHTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes13253$0
99213Established patient office or other outpatient visit, 20-29 minutes1816$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1111$0
View full utilization report →

Insurance plans in this area (ZIP 45459)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0840104360View full group profile

Reviews

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Frequently asked questions

Does MARIE MIDDLETON (NP-C) have a public NPI I can cite?
Public records show MARIE MIDDLETON (NP-C) under NPI 1053761627.
Is MARIE MIDDLETON (NP-C) currently accepting referrals based on NPI status?
Registry metadata lists MARIE MIDDLETON (NP-C) as active.
Which specialty label fits MARIE MIDDLETON (NP-C)?
NPPES ties MARIE MIDDLETON (NP-C) to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit MARIE MIDDLETON (NP-C) in Centerville, Ohio?
For routing, start with Centerville, Ohio for MARIE MIDDLETON (NP-C), then verify phone and hours locally.
Why is information missing for MARIE MIDDLETON (NP-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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