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MITZI N. DORT FNP
NPI 1619077005
Nurse Practitioner - Family in Brooklyn, NY

Active since September 25, 2006PECOS Enrolled
100 NORTH PORTLAND AVENUE, CUMBERLAND DIAGNOSTIC & TREATMENT CENTER, BROOKLYN, NY 11205(718) 260-7500(718) 802-9013 Get Directions Write a Review

NPPES record last updated: November 10, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mitzi N. Dort Fnp NPPES

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

MITZI N. DORT FNP (NPI 1619077005) is an individual family provider in Brooklyn, New York, licensed in New York (334105) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619077005
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMITZI N. DORTCredential: FNP
Location Address100 NORTH PORTLAND AVENUE, CUMBERLAND DIAGNOSTIC & TREATMENT CENTERBrooklyn, NY 11205
Mailing Address760 Broadway, Woodhull Medical & Mental Health CenterBrooklyn, NY 11206 · (718) 963-8000 · Fax (718) 630-3122
Phone(718) 260-7500
Fax(718) 802-9013
Sole ProprietorYes
Enumeration DateSeptember 25, 2006
Last NPPES UpdateNovember 10, 2014
✔ NPI 1619077005 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 NY · 334105
100 NORTH PORTLAND AVENUE, Brooklyn, NY 11205
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Other Identifiers 1

Medicaid334105NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mitzi N. Dort Fnp 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 Reassignments

2

Medicare enrollment records show Mitzi Dort reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Doral Medical And Multi Specialty Facility LLC
4.0 mi
Multi-Specialty
1797 PITKIN AVE
Brooklyn, NY 11212
  • Reassigned Medicare billing, New York enrollment
  • 73 clinicians in this Medicare group
NPI 1144693607 (718) 367-2555
St John's Medical Services PC
14 mi
Internal Medicine
327 BEACH 19TH ST
Far Rockaway, NY 11691
  • Reassigned Medicare billing, New York enrollment
  • 149 clinicians in this Medicare group
NPI 1023042173 (718) 869-7641

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11205 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 4

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

ANGELA GLASSCOCK NP
Nurse Practitioner (Pediatrics)
100 NORTH PORTLAND AVENUE, CUMBERLAND DIAGNOSTIC & TREATMENT CENTER
BROOKLYN, NY 11205
Kings County (718) 260-7500
MATTHEW PIERRE ROQUE
Social Worker (Clinical)
100 NORTH PORTLAND AVENUE
BROOKLYN, NY 11205
Kings County (718) 260-7716
CLAUDE ALINE CHARLES PERICLES NP
Nurse Practitioner (Family)
100 NORTH PORTLAND AVENUE, DEPARTMENT OF MEDICINE
BROOKLYN, NY 11205
Kings County (718) 260-7500
MRS. JOSEE VOIGT RN (REGISTERED NURSE
Registered Nurse
100 NORTH PORTLAND AVENUE, CUMBERLAND DIAGNOSTIC & TREATMENT CENTER
BROOKLYN, NY 11205
Kings County (718) 260-7500

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 Mitzi Dort's NPI number?

The NPI number for Mitzi Dort is 1619077005. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is Mitzi Dort located?

Mitzi Dort practices at 100 North Portland Avenue Cumberland Diagnostic & Treatment Center, Brooklyn, NY 11205. The listed phone number is (718) 260-7500.

What is Mitzi Dort's specialty?

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

Is Mitzi Dort enrolled in Medicare?

Yes. Mitzi Dort is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mitzi Dort's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mitzi Dort reassigns Medicare benefits to 2 organizations: Doral Medical And Multi Specialty Facility LLC (Brooklyn, NY) and St John's Medical Services PC (Far Rockaway, NY). Each 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 Mitzi Dort's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mitzi Dort was last updated on November 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.