ELLEN MIFTARI (APRN, AGNP-C) – Gerontology Nurse Practitioner, NPI 1962863498

Gerontology Nurse Practitioner

ELLEN MIFTARI (APRN, AGNP-C) is a healthcare provider. based in Dickinson, Texas. specializing in Gerontology Nurse Practitioner. They hold the professional credentials APRN, AGNP-C. They hold a License No. 31304 (SC). The NPI Number for ELLEN MIFTARI (APRN, AGNP-C) is 1962863498

Main info

Female

11 Years Of Experience

Accepts Medicare Assignment

Name

ELLEN MIFTARI (APRN, AGNP-C)

NPI

1962863498

Phone

(281) 450-0165

Address

103 AVENUE J

Enumeration Date

10 March 2016

Last Update Date

21 January 2026

Doctor Profile

Medical School Name

OTHER

Secondary Phone

7135751800

Graduation Year

2015 (11 years ago)

PAC ID

5698073054

Group Practice PAC ID

7517291628

Professional Enrollment ID

I20160419000242

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience75

Completeness85

Years active:10State licenses:11Digital endpointsOther names

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Provider Addresses for ELLEN MIFTARI (APRN, AGNP-C)

103, Avenue J, Dickinson, Galveston County, Texas, 77539, United States
DICKINSON, TX 775395279
Phone: (281) 450-0165
Type: Mailing
PO BOX 211699
EAGAN, MN 551213699
Phone: (866) 849-0692
Fax: (888) 973-8821
Type: Mailing
20405 STATE HIGHWAY 249 STE 325
HOUSTON, TX 770702893
Phone: (866) 849-0692
Type: Location

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: 2024-04-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

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
I20160419000242	I	Nurse Practitioner	TX	TBD
I20240423002233	I	Nurse Practitioner	AZ	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.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77539)

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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: 7517291628View full group profile

Name	Specialty	State
TRACY BEEMAN HAWKINS (PMHNP, FNP)	-	CO
MRS. REBEKAH LEIGH PENTON (RN, GNP-BC)	-	TX
MRS. HAO THI PHAM (DNP, FNP-BC)	-	TX
ASMAA HUSSEIN (AGPCNP-BC)	-	TX
DR. FIROOZEH ROSE SAHEB KAR (M.D.)	Internal Medicine	TX
MRS. MEGHNA SHETH (APRN, FNP-C)	-	TX

Reviews

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Frequently asked questions

Where can patients find ELLEN MIFTARI (APRN, AGNP-C)'s NPI?

You can confirm ELLEN MIFTARI (APRN, AGNP-C) with NPI 1962863498; it appears in the national provider directory.

Is ELLEN MIFTARI (APRN, AGNP-C)'s NPI currently valid?

The extract we use shows ELLEN MIFTARI (APRN, AGNP-C) as active.

What field does ELLEN MIFTARI (APRN, AGNP-C) work in?

You can think of ELLEN MIFTARI (APRN, AGNP-C) as practicing within Gerontology Nurse Practitioner. Clinical services aligned with this taxonomy classification.

Where is ELLEN MIFTARI (APRN, AGNP-C)'s primary listing?

We display Dickinson, Texas because that is what the record indicates for ELLEN MIFTARI (APRN, AGNP-C).

How can I contact ELLEN MIFTARI (APRN, AGNP-C)?

Phone or fax may appear on the official NPI record when supplied — verify before relying on them.