TINA MARIE MITTERLING (PA-C) – Physician Assistant, NPI 1427242239
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,032 PHYSICIAN ASSISTANT in OH
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Provider Addresses for TINA MARIE MITTERLING (PA-C)
508, Dickson Street, Wellington Historic District, Wellington, Lorain County, Ohio, 44090, United States
WELLINGTON, OH 440901300
Phone: (440) 647-2225
Type: Location
Boom Box Buns, 1324, Main Street, Main Street Business District, Over-the-Rhine, Cincinnati, Hamilton County, Ohio, 45202, United States
CINCINNATI, OH 452636573
Phone: (440) 989-3801
Fax: (440) 960-0264
Type: Mailing
823 GATEWAY CENTER WAY
SAN DIEGO, CA 921024541
Phone: (619) 515-2300
Type: Mailing
3705 MISSION BLVD
SAN DIEGO, CA 921097104
Phone: (619) 515-2444
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $105.
Total Amount is formed as General ($105) + Research ($0) + Ownership ($0) = $105.
Last reported payment date: 2023-05-08 • Largest payer in this snapshot: PFIZER INC. ($25).
Total Amount
$105
General + Research + Ownership
Payments
5
Total payment records
General Amount
$105
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-08
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2025-10-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20071220000710 | I | Physician Assistant | SC | TBD |
| I20090421000119 | I | Physician Assistant | OH | TBD |
| I20251020000930 | I | Physician Assistant | CA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 44090)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | PA | |
| Ophthalmology, Neurology | SC | |
| - | SC | |
| Internal Medicine, Hematology/Oncology | SC | |
| Family Practice | SC | |
| Orthopedic Surgery | PA | |
| Family Practice | PA | |
| Family Practice | SC | |
| Family Practice | SC | |
| Orthopedic Surgery | SC |
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