Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARIE MIDDLETON NP-C
NPI 1053761627
Registered Nurse in Blanchester, OH

Q: What is Marie Middleton's NPI number?

The NPI number for Marie Middleton is 1053761627. It was assigned to this individual provider in the NPPES registry on June 15, 2016.

Q: What is Marie Middleton's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Q: When was this NPI record last updated?

The NPPES record for Marie Middleton was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 15, 2016PECOS Enrolled

84.95/100

CMS Quality Rating

327 E BALDWIN ST, BLANCHESTER, OH 45107(937) 783-2681 Get Directions Write a Review

NPPES record last updated: October 20, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 13, 2021, Feb 9, 2017, Nov 22, 2016 and 1 more (4 updates tracked since 2016).

On this page

About Marie Middleton Np-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIE MIDDLETON NP-C (NPI 1053761627) is an individual registered nurse in Blanchester, Ohio, licensed in Ohio (359345) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053761627

Entity TypeIndividualFemale

Primary Taxonomy163W00000X

Provider Legal NameMARIE MIDDLETONCredential: NP-C

Location Address327 E BALDWIN STBlanchester, OH 45107-1203

Mailing Address327 E Baldwin StBlanchester, OH 45107-1203

Phone(937) 783-2681

Sole ProprietorYes

Enumeration DateJune 15, 2016

Last NPPES UpdateOctober 20, 20264 updates tracked since enumeration

NPPES CertifiedOctober 20, 2026

✔ NPI 1053761627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

License✔ Licensed in OH · 359345

Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License COA.18955-NP (OH)

327 E BALDWIN ST, Blanchester, OH 45107

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Other Identifiers 1

Medicaid0181525OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marie Middleton Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Marie Middleton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mvhe Inc

15 mi

Family Medicine

1000 COLUMBUS AVE
Lebanon, OH 45036

Reassigned Medicare billing, Ohio enrollment
744 clinicians in this Medicare group

NPI 1851721856 (513) 932-7951

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

84 services55 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

26 services20 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

20 services20 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.95/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

80.68

Promoting Interoperability

100

Improvement Activities

Cost

69.16

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

6 suppliers16 claims32 services$5.37 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

4 suppliers12 claims14 services$0.89 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHERINE MALONE

Speech-Language Pathologist

327 E BALDWIN ST
BLANCHESTER, OH 45107

Clinton County (937) 783-2681

ELIZABETH FARMER

Speech-Language Pathologist

327 E BALDWIN ST
BLANCHESTER, OH 45107

Clinton County (937) 783-2681

ANGELA PUTMAN RN

Registered Nurse

327 E BALDWIN ST
BLANCHESTER, OH 45107

Clinton County (937) 783-2681

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marie Middleton's NPI number?

The NPI number for Marie Middleton is 1053761627. It was assigned to this individual provider in the NPPES registry on June 15, 2016.

Where is Marie Middleton located?

Marie Middleton practices at 327 E Baldwin St, Blanchester, OH 45107. The listed phone number is (937) 783-2681.

What is Marie Middleton's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Is Marie Middleton enrolled in Medicare?

Yes. Marie Middleton is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Marie Middleton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marie Middleton reassigns Medicare benefits to Mvhe Inc (Lebanon, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marie Middleton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marie Middleton accept?

Health plans from CareSource list Marie Middleton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marie Middleton was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.