QUEEN NGWANGONG MITTI (DNP) – Certified Registered Nurse Anesthetist, NPI 1073204426

QUEEN NGWANGONG MITTI (DNP) is a healthcare provider. based in Brunswick, Ohio. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials DNP. They hold a License No. 143324 (OH). The NPI Number for QUEEN NGWANGONG MITTI (DNP) is 1073204426

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
QUEEN NGWANGONG MITTI (DNP)
NPI
1073204426
Phone
Not provided
Address
1460 CONGRESSIONAL AVE
Enumeration Date
17 May 2023
Last Update Date
17 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4196688101
Graduation Year
2023 (3 years ago)
PAC ID
4981980596
Group Practice PAC ID
4789598509
Professional Enrollment ID
I20230609000214
Address ID
OH448572374NO272XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

3,016 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in OH

Provider Addresses for QUEEN NGWANGONG MITTI (DNP)

  • 1460 CONGRESSIONAL AVE

    BRUNSWICK, OH 442123276

    Phone:

    Type: Mailing

  • 272 BENEDICT AVE

    NORWALK, OH 448572374

    Phone: (419) 668-8101

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $63.

Total Amount is formed as General ($63) + Research ($0) + Ownership ($0) = $63.

Last reported payment date: 2024-01-24 • Largest payer in this snapshot: Mindray DS USA, Inc. ($45).

Total Amount

$63

General + Research + Ownership

Payments

2

Total payment records

General Amount

$63

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-24

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2023-06-09

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230609000214ICertified Registered Nurse Anesthetist (Crna)OHTBD

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
00811Anesthesia for other procedure on large bowel using an endoscope2221$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1414$0
00813Anesthesia for procedure on small and large bowel using an endoscope1313$0
View full utilization report →

Insurance plans in this area (ZIP 44212)

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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: 4789598509View full group profile
NameSpecialtyState
Anesthesiology AssistantOH
-OH
A N E S T H E S I O L O G YOH
Anesthesiology, Internal MedicineOH
A N E S T H E S I O L O G YOH
Anesthesiology AssistantOH
Anesthesiology AssistantOH
Certified Registered Nurse Anesthetist (Crna)PA
Anesthesiology AssistantOH
A N E S T H E S I O L O G YNY

Reviews

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Frequently asked questions

Can I cross-check QUEEN NGWANGONG MITTI (DNP) using NPI 1073204426?
NPI 1073204426 belongs to QUEEN NGWANGONG MITTI (DNP); compare other details if you need extra assurance.
Is QUEEN NGWANGONG MITTI (DNP) still an active registrant?
QUEEN NGWANGONG MITTI (DNP) carries an active NPI according to the public dataset.
How would a patient describe QUEEN NGWANGONG MITTI (DNP)'s focus?
For QUEEN NGWANGONG MITTI (DNP), the primary taxonomy reads as Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for QUEEN NGWANGONG MITTI (DNP)?
Travel planning: use Brunswick, Ohio as the reference point for QUEEN NGWANGONG MITTI (DNP), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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