Mia Deritis
NPI 1073063012 · Physician Assistant · Pennington, NJ
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mia Deritis is a Physician Assistant provider in Pennington, NJ (NPI 1073063012).
Provider details
- NPI number
- 1073063012
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 25MP00518400 (NJ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
9 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
50 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 34 | $69 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 16 | $104 |
Typical Medicare-allowed amounts for these services range $69–$104 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (2)
- 1925 Pacific AveAtlantic City, NJ 08401-6713Phone: (609) 449-4373Fax: (609) 441-8178
- 2 Capital Way Ste 456Pennington, NJ 08534-2521Phone: (609) 537-7300Fax: (609) 537-7301
Registry dates
- Enumerated
- 2016-10-13
- Last updated
- 2024-12-09
- Certified
- 2024-12-09
Frequently asked questions
- What is Mia Deritis's NPI number?
- Mia Deritis's National Provider Identifier (NPI) is 1073063012, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mia Deritis's specialty?
- Mia Deritis is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mia Deritis located?
- Mia Deritis's practice location on file with NPPES is 1 Capital Way, Pennington, NJ 08534-2520.
- What is Mia Deritis's phone number?
- The practice phone number listed in the NPPES registry for Mia Deritis is (800) 637-2374.
- Does Mia Deritis accept Medicare?
- Mia Deritis is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mia Deritis's NPI active?
- Yes — Mia Deritis's NPI (1073063012) is active in the NPPES registry as of the last update on 2024-12-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.