Individual provider Active NPI

Carolyn Graeber Mitchell, M.D.

  • Pediatric Ophthalmology and Strabismus Specialist Physician
  • Fort Collins, CO
National Provider Identifier
1053572438
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Ophthalmology and Strabismus Specialist PhysicianTaxonomy code 207WX0110X
License
DR.0066637 Issued in CO
Practice address
2121 E Harmony Rd Unit 350
Fort Collins, CO 80528-3404
Phone
(970) 214-8175
NPI assigned
Jun 19, 2008
Last updated
Feb 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 250330 MA
Ophthalmology Physician 207W00000X 255515 NY
Pediatric Ophthalmology and Strabismus Specialist Physician 207WX0110X DR.0066637 CO Primary

Addresses

Primary practice location

2121 E Harmony Rd Unit 350
Fort Collins, CO 80528-3404

Mailing address

2121 E Harmony Rd Unit 350
Fort Collins, CO 80528-3404
Phone (970) 214-8175

Other names 1

  • Carolyn Page Graeber Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130823000373 NY Practitioner - Ophthalmology 1850541780 Reassigns benefits to 1 organization
I20220401000894 CO Practitioner - Ophthalmology 1850541780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Yale University School of Medicine, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2121 E Harmony Rd
Unit 350
Fort Collins, CO 80528-3404
Phone (970) 214-8175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Eye Care of Northern Colorado PC Ophthalmology CurrentSince Apr 1, 2022 Accepting new patients
Boston Children's Health Physicians, LLP CurrentSince Nov 2, 2020 Accepting new patients
Boston Childrens Health Physicians LLP CurrentSince Nov 2, 2020 Accepting new patients
Mark Fromer, MD PC Ophthalmology PastSince Aug 1, 2013 Accepting new patients
Children's Optical of Northern Colorado LLC Pediatric Ophthalmology and Strabismus Specialist PastSince Mar 5, 2023 Accepting new patients

Locations

2121 E Harmony Rd
Unit 350
Fort Collins, CO 80528
Phone (970) 221-2370

2121 E Harmony Rd
Unit 350A
Fort Collins, CO 80528
Phone (970) 214-8175

19 Bradhurst Ave
Hawthorne, NY 10532
Phone (914) 493-7235

40 Saw Mill River Rd
Hawthorne, NY 10532
Phone (914) 345-8888

40 Saw Mill River Rd
Ste UL7
Hawthorne, NY 10532
Phone (914) 313-3937

Interoperability endpoints

  • Direct secure messaging: cmitchell@cecnoco.intellechartdirect.net
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1053572438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 E HARMONY RD UNIT 350",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805283404",
            "telephone_number": "970-214-8175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 E HARMONY RD UNIT 350",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805283404",
            "telephone_number": "970-214-8175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "CAROLYN",
        "middle_name": "GRAEBER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-19",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "250330",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "255515",
            "primary": false
        },
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "CO",
            "license": "DR.0066637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "GRAEBER",
            "middle_name": "PAGE",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.