Individual provider Active NPI

Nicole Alexandra Mitchell, NP-C

  • Adult Health Nurse Practitioner
  • West Windsor, NJ
National Provider Identifier
1063937761
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00749700 Issued in NJ
Practice address
186 Princeton Hightstown Rd BLDG 3a
West Windsor, NJ 08550-1668
Phone
(609) 443-1150
NPI assigned
Aug 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ00749700 NJ Primary

Addresses

Primary practice location

186 Princeton Hightstown Rd BLDG 3a
West Windsor, NJ 08550-1668

Mailing address

1 Plainsboro Rd
Plainsboro, NJ 08536-1913
Phone (609) 853-7920

Other practice location 1

1 Plainsboro Rd
Plainsboro, NJ 08536-1913
Phone (609) 853-7920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190311000043 NJ Practitioner - Nurse Practitioner 2062751050 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2482 Pennington Rd
Pennington, NJ 08534-5279

350 Forsgate Dr
Monroe, NJ 08831-5155

5 Plainsboro Rd
Plainsboro, NJ 08536-1915

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Complex Care PC CurrentSince Sep 27, 2021 Accepting new patients
Clinical Health Care Associates of New Jersey, P.C. CurrentSince Jun 1, 2023 Accepting new patients
Princeton Healthcare Affiliated Physicians PC Adult Health Current Accepting new patients
Clinical Health Care Associates of New Jersey, PC CurrentSince Jun 1, 2023 Accepting new patients
Princeton Healthcare Affiliated Physicians PC CurrentSince Feb 4, 2019 Accepting new patients
Princeton Healthcare Affiliated Physicians PC CurrentSince Feb 4, 2019 Accepting new patients

Locations

401 Ridge Rd
Ste 6
Dayton, NJ 08810
Phone (732) 329-4800

350 Forsgate Dr
Ste 103
Monroe Twp, NJ 08831
Phone (609) 831-0779

19 Davis Ave
Fl 7
Neptune, NJ 07753
Phone (732) 776-3797

2482 Pennington Rd
Ste 102
Pennington, NJ 08534
Phone (609) 853-6480

1 Plainsboro Rd
Plainsboro, NJ 08536
Phone (609) 853-7000

5 Plainsboro Rd
Ste 490
Plainsboro, NJ 08536
Phone (609) 853-6500

1 Union St
Ste 106
Robbinsville, NJ 08691
Phone (609) 252-8756

1 Washington Blvd
Ste A
Trenton, NJ 08691
Phone (609) 448-4353

1945 State Route 33
Wall Township, NJ 07753
Phone (732) 776-2333

186 Princeton Hightstown Rd
Bldg 3A
West Windsor, NJ 08550
Phone (609) 443-1150

186 Princeton Hightstown Rd
Ste 3A-101
West Windsor, NJ 08550
Phone (609) 443-1150

Organizations & group practices 6

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1063937761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PLAINSBORO RD",
            "city": "PLAINSBORO",
            "state": "NJ",
            "postal_code": "085361913",
            "telephone_number": "609-853-7920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 PRINCETON HIGHTSTOWN RD BLDG 3A",
            "city": "WEST WINDSOR",
            "state": "NJ",
            "postal_code": "085501668",
            "telephone_number": "609-443-1150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Plainsboro Rd",
            "address_purpose": "LOCATION",
            "city": "Plainsboro",
            "state": "NJ",
            "postal_code": "085361913",
            "country_code": "US",
            "telephone_number": "609-853-7920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "NICOLE",
        "middle_name": "ALEXANDRA",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00749700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Windsor, NJ

Sources for this page

Verify at the official NPI Registry.