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

ANTHEA VYVIA MICKENS APRN
NPI 1497303168
Nurse Practitioner - Family in Boardman, OH

Q: What is Anthea Mickens's NPI number?

The NPI number for Anthea Mickens is 1497303168. It was assigned to this individual provider in the NPPES registry on August 27, 2019.

Q: What is Anthea Mickens's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Anthea Mickens was last updated on September 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 August 27, 2019PECOS Enrolled

930 TRAILWOOD DR, BOARDMAN, OH 44512(833) 510-4357(866) 460-2997 Get Directions Write a Review

NPPES record last updated: September 3, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Sep 3, 2026, Aug 27, 2026, Aug 27, 2019 (3 updates tracked since 2019).

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About Anthea Vyvia Mickens Aprn NPPES

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

ANTHEA VYVIA MICKENS APRN (NPI 1497303168) is an individual family provider in Boardman, Ohio, licensed in Ohio (APRN.CNP.025911) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497303168

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameANTHEA VYVIA MICKENSCredential: APRN

Location Address930 TRAILWOOD DRBoardman, OH 44512-5007

Mailing Address4600 Montgomery Rd Ste 400Cincinnati, OH 45212-2600

Phone(833) 510-4357

Fax(866) 460-2997

Sole ProprietorYes

Enumeration DateAugust 27, 2019

Last NPPES UpdateSeptember 3, 20263 updates tracked since enumeration

NPPES CertifiedSeptember 3, 2026

✔ NPI 1497303168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in OH · APRN.CNP.025911

Also ListedRegistered NurseTaxonomy 163W00000X · License RN.304090 (OH)

930 TRAILWOOD DR, Boardman, OH 44512

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anthea Vyvia Mickens Aprn 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44512 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.

Other Providers at the Same Location NPPES 15

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

JOHN SAFAR CDCA

Counselor (Addiction (Substance Use Disorder))