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

Active since August 27, 2019PECOS Enrolled
1878 SELMA AVE, YOUNGSTOWN, OH 44504(330) 774-7551 Get Directions Write a Review

NPPES record last updated: August 27, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Anthea Vyvia Mickens NPPES

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

ANTHEA VYVIA MICKENS (NPI 1497303168) is an individual family provider in Youngstown, Ohio, licensed in Ohio (304090) 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 MICKENS
Location Address1878 SELMA AVEYoungstown, OH 44504-1302
Mailing Address1878 Selma AveYoungstown, OH 44504-1302 · (330) 774-7551
Phone(330) 774-7551
Sole ProprietorYes
Enumeration DateAugust 27, 2019
✔ NPI 1497303168 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 · 304090
1878 SELMA AVE, Youngstown, OH 44504
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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 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 44504 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.

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 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.

Where is Anthea Mickens located?

Anthea Mickens practices at 1878 Selma Ave, Youngstown, OH 44504. The listed phone number is (330) 774-7551.

What is Anthea Mickens's specialty?

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

Is Anthea Mickens enrolled in Medicare?

Yes. Anthea Mickens is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Anthea Mickens was last updated on August 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.