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MIJANOU D MARRETTA-LEWIS FNP-C
NPI 1235627142
Nurse Practitioner - Family in Centerville, OH

Active since April 26, 2018PECOS EnrolledAccepts Medicare Assignment
1989 MIAMISBURG CENTERVILLE RD STE 301, CENTERVILLE, OH 45459(937) 434-7353(937) 438-6569 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mijanou D Marretta-lewis Fnp-c NPPES

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

MIJANOU D MARRETTA-LEWIS FNP-C (NPI 1235627142) is an individual family provider in Centerville, Ohio, licensed in Ohio (APRN.CNP.022588) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Kettering Health Dayton, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1235627142
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMIJANOU D MARRETTA-LEWISCredential: FNP-C
Location Address1989 MIAMISBURG CENTERVILLE RD STE 301Centerville, OH 45459-3858
Mailing Address1989 Miamisburg Centerville Rd Ste 301Centerville, OH 45459-3858 · (937) 434-7353 · Fax (937) 438-6569
Phone(937) 434-7353
Fax(937) 438-6569
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateApril 26, 2018
Last NPPES UpdateJuly 17, 2025
NPPES CertifiedJuly 17, 2025
✔ NPI 1235627142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · APRN.CNP.022588
1989 MIAMISBURG CENTERVILLE RD STE 301, Centerville, OH 45459
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Accepted Insurance

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

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

Mijanou D Marretta-lewis Fnp-c 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.

PECOS PAC ID7113281544
PECOS Enrollment IDI20180510001013
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360133
Location405 Grand AvenueDayton, OH 45405 · Montgomery County
Birthing friendly

Kettering Health Miamisburg

Acute Care Hospitals · Miamisburg, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360239
Location4000 Miamisburg-Centerville RoadMiamisburg, OH 45342 · Montgomery County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45459 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

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
8 suppliers20 claims56 services$5.41 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 4

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

SHANE TIMOTHY SAMPSON MD
Family Medicine
1989 MIAMISBURG CENTERVILLE RD STE 301
CENTERVILLE, OH 45459
Montgomery County (937) 434-7353
MRS. INNA L BAIR CNP
Nurse Practitioner (Primary Care)
1989 MIAMISBURG CENTERVILLE RD STE 301
CENTERVILLE, OH 45459
Montgomery County (937) 434-7353
DR. WILLIAM EARL VENANZI JR. MD
Internal Medicine (Rheumatology)
1989 MIAMISBURG CENTERVILLE RD STE 301
CENTERVILLE, OH 45459
Montgomery County (937) 434-7353
LORI LYNN WHITEHEAD APRN-CNP
Nurse Practitioner
1989 MIAMISBURG CENTERVILLE RD STE 301
CENTERVILLE, OH 45459
Montgomery County (937) 434-7353

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 Mijanou Marretta-lewis's NPI number?

The NPI number for Mijanou Marretta-lewis is 1235627142. It was assigned to this individual provider in the NPPES registry on April 26, 2018.

Where is Mijanou Marretta-lewis located?

Mijanou Marretta-lewis practices at 1989 Miamisburg Centerville Rd Ste 301, Centerville, OH 45459. The listed phone number is (937) 434-7353.

What is Mijanou Marretta-lewis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mijanou Marretta-lewis enrolled in Medicare?

Yes. Mijanou Marretta-lewis 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.

What insurance does Mijanou Marretta-lewis accept?

Health plans from CareSource, MedMutual and UnitedHealthcare list Mijanou Marretta-lewis 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.

Is Mijanou Marretta-lewis affiliated with any hospitals?

According to CMS data, Mijanou Marretta-lewis is affiliated with Kettering Health Dayton and Kettering Health Miamisburg.

When was this NPI record last updated?

The NPPES record for Mijanou Marretta-lewis was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.