Angelia M Mickle, FNP - Medicare Nurse Practitioner in Jamestown, OH

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Angelia M Mickle, FNP is a medicare enrolled "Nurse Practitioner - Family" in Jamestown, Ohio. She graduated from nursing school in 2013 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mental Health Services For Clark Co Inc and her current practice location is 4940 Cottonville Rd, Ste 100, Jamestown, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 675-6830.

Angelia M Mickle is licensed to practice in Ohio (license number COA.14976-NP) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1790117141.

Contact Information

Angelia M Mickle, FNP
4940 Cottonville Rd, Ste 100,
Jamestown, OH 45335
(937) 675-6830
(937) 675-6835

Map and Direction




Provider's Profile

Full NameAngelia M Mickle
GenderFemale
SpecialityNurse Practitioner
Experience12 Years
Location4940 Cottonville Rd, Jamestown, Ohio
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Angelia M Mickle graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1790117141
  • Provider Enumeration Date: 08/07/2013
  • Last Update Date: 03/25/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 0840433058
  • Enrollment ID: I20130925000618

Medical Identifiers

Medical identifiers for Angelia M Mickle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790117141NPI-NPPES
0095517MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health APRN.CNP.14976 (Ohio)Secondary
363LF0000XNurse Practitioner - Family COA.14976-NP (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Springfield Regional Medical CenterSpringfield, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mental Health Services For Clark Co Inc781080103214

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Angelia M Mickle allows following entities to bill medicare on her behalf.
Entity NameAlliance Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437125572
PECOS PAC ID: 0840104360
Enrollment ID: O20031118000529
Entity NameMvhe Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659504785
PECOS PAC ID: 9537066584
Enrollment ID: O20031217000553
Entity NameMental Health Services For Clark Co Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982695706
PECOS PAC ID: 7810801032
Enrollment ID: O20040108000709
Entity NameSamaritan Family Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659503886
PECOS PAC ID: 5092608372
Enrollment ID: O20040203000210

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Angelia M Mickle is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Angelia M Mickle, FNP
4940 Cottonville Rd Ste 100,
Jamestown, OH 45335-1522

Ph: (937) 675-2870		Angelia M Mickle, FNP
4940 Cottonville Rd, Ste 100,
Jamestown, OH 45335

Ph: (937) 675-6830

Reviews and Comments


Nurse Practitioner Nurses in Jamestown, OH

Eric E Bowers, CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4790 Cottonville Rd, Jamestown, OH 45335
Phone: 937-675-2870    Fax: 937-675-2873
Dana N Scott, CNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 26 W Washington St, Jamestown, OH 45335
Phone: 937-901-6283    
Mrs. Angela Renee' Paugh, APRN-CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4790 Cottonville Rd, Jamestown, OH 45335
Phone: 937-675-2870    
Rhonda Steward Williams, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 47 W Washington St, Jamestown, OH 45335
Phone: 937-271-7440    
Marcia Williams, CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4790 Cottonville Rd, Jamestown, OH 45335
Phone: 937-675-2870    Fax: 937-675-2873
Mrs. Susan K Jordan, CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4940 Cottonville Rd, Suite 100, Jamestown, OH 45335
Phone: 937-675-6830    Fax: 937-675-6835

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.