Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicholas A Mietus, PA-C

Individual provider Physician Assistant · NPI 1306352422

Nicholas A Mietus, PA-C is a Physician Assistant in Bartlesville, Oklahoma. Qualified in 2017, 9 years ago. Practices with Northern Oklahoma Dermatology, a 5-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
9
Licensed in
OK
In the registry since
2017
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

309 SE Frank Phillips Blvd
Bartlesville, OK 74003-3643
Phone: (918) 214-8888
Fax: (918) 214-8887
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2854 (OK)
Physician Assistant Taxonomy 363A00000X (OK)

Record details

NPI number1306352422
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 27, 2017
Last updated in NPPESJanuary 4, 2023
Certification dateJanuary 4, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Northern Oklahoma Dermatology — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Bartlesville