LAUREN NICHOLE MIX — NPI 1174152193 (Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers

CMS-1500 Box 24J / 33a • NPI

1174152193

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

367A00000X (CMS 42)

Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Midwife, Certified Nurse

Box 32 Service Location & ZIP+4

9176 WINESBURG RD, DUNDEE, OH, 44624-9437

✓ 9-Digit EDI 837 ZIP+4 (44624-9437)

Practice Phone & Referral Fax

(330) 359-0580

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1174152193 (LAUREN NICHOLE MIX) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1174152193` (NPI-1 Individual Practitioner)
Provider / Legal Name	LAUREN NICHOLE MIX
Plain-English Specialty	Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Midwife, Certified Nurse NUCC Code: `367A00000X` (Advanced Practice Midwife)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	9176 WINESBURG RD, DUNDEE, OH, 44624-9437
Practice Telephone / Fax	Tel: (330) 359-0580
Administrative Mailing Address	3175 FICKEY DR, CUYAHOGA FALLS, OH, 44223-2837
Enumeration & Last Sync	Enumerated: 2020-04-02 \| CMS Record Updated: 2020-10-25

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

9176 WINESBURG RD, DUNDEE, OH, 44624-9437

🗺️ Open in Google Maps 🏥 More Providers in DUNDEE

🔒 Are you LAUREN NICHOLE MIX? Get your Verified NPI Clinic Badge or request personal phone/address redaction →

Plain-English Taxonomy & CMS Crosswalk (367A00000X)

What Does Taxonomy Code 367A00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 367A00000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Midwife, Certified Nurse"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 42 (Certified Nurse Midwife)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Advanced Practice Midwife for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (LAUREN NICHOLE MIX)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`367A00000X` — Advanced Practice Midwife Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Midwife, Certified Nurse	State: OH \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.

Launch Bulk NPI Checker → JSON API Docs

LAUREN NICHOLE MIX (NPI #1174152193)