MISS MIA DERITIS
NPI 1073063012
Physician Assistant in Pennington, NJ
About Miss Mia Deritis NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISS MIA DERITIS (NPI 1073063012) is an individual physician assistant in Pennington, New Jersey, licensed in New Jersey (25MP00518400) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS, is affiliated with Cooper University Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Miss Mia Deritis is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Cooper University Hospital
Acute Care Hospitals · Camden, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 08534 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PENNINGTON, NJ 08534
PENNINGTON, NJ 08534
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 Mia Deritis's NPI number?
The NPI number for Mia Deritis is 1073063012. It was assigned to this individual provider in the NPPES registry on October 13, 2016.
Where is Mia Deritis located?
Mia Deritis practices at 1 Capital Way, Pennington, NJ 08534. The listed phone number is (800) 637-2374.
What is Mia Deritis's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Mia Deritis enrolled in Medicare?
Yes. Mia Deritis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Mia Deritis affiliated with any hospitals?
According to CMS data, Mia Deritis is affiliated with Cooper University Hospital.
When was this NPI record last updated?
The NPPES record for Mia Deritis was last updated on December 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.
# Miss Mia Deritis · NPI 1073063012
Physician Assistant physician in Pennington, New Jersey. Individual provider, active in the CMS NPPES registry since October 13, 2016.
## Identity
- **NPI:** 1073063012 (Entity type: Individual)
- **Enumerated:** October 13, 2016
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 25MP00518400 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 CAPITAL WAY, Pennington, NJ 08534-2520
- **Phone:** (800) 637-2374
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** December 9, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1073063012) · Data from the CMS NPPES public registry.