Amanda Doris Mitchell, PA-C, M.S., RD

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601006860 Issued in MI

Practice address

2520 Robert Jones Way
Kalamazoo, MI 49009-1904

Phone

(269) 552-0420

NPI assigned

Aug 12, 2009

Last updated

Dec 14, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Physician Assistant

Education

Wayne State University School of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ascension Medical Group PromedGroup PAC ID 7315856077, 255 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Borgess Medical Center Hospital, Kalamazoo, MI, CCN 230117
• Bronson Methodist Hospital Hospital, Kalamazoo, MI, CCN 230017
• Oaklawn Hospital Hospital, Marshall, MI, CCN 230217
• Beacon Plainwell Long-term care hospital, Plainwell, MI, CCN 232034

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Physician Assistant

State licenses

Practice roles

Locations

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.

• Beacon Medical Group Michigan Inc

  dba Beacon Medical Group Michigan

  • Family Medicine Physician
  • Portage, MI
  • NPI 1497709869
  Medicare reassignment Care Compare group NPD (past)
• West Michigan Cancer Center

  • Medical Oncology Physician
  • Kalamazoo, MI
  • NPI 1447261730

  Physician Assistant

  Medicare reassignment NPD
• Advanced Orthopedic Specialists PC

  • Orthopaedic Surgery Physician
  • Brighton, MI
  • NPI 1649322454
  Medicare reassignment
• Beacon Allegan Inc

  dba Ascension Borgess Allegan Hospital Outpatient Clinic

  • Multi-Specialty Clinic/Center
  • Allegan, MI
  • NPI 1144531252
  Medicare reassignment
• Beacon Allegan Inc

  dba Beacon Allegan

  • Critical Access Hospital
  • Allegan, MI
  • NPI 1295803377
  Medicare reassignment
• Beacon Dowagiac Inc

  dba Beacon Dowagiac

  • Critical Access Hospital
  • Dowagiac, MI
  • NPI 1194771030
  Medicare reassignment
• Ella E M Brown Charitable Circle

  dba Oaklawn Hospital

  • Psychiatry Physician
  • Marshall, MI
  • NPI 1366591794
  Medicare reassignment
• Ascension Borgess Allegan Hospital

  dba Fennville Medical Center

  • Rural Health Clinic/Center
  • Fennville, MI
  • NPI 1861979502
  NPD
• Ascension Medical Group Promed

  • Pediatrics Physician
  • Sturgis, MI
  • NPI 1013926997
  NPD
• Beacon Allegan Inc

  dba Beacon Allegan

  • Certified Registered Nurse Anesthetist
  • Allegan, MI
  • NPI 1932364700
  NPD
• Beacon Allegan Inc

  dba Beacon Allegan

  • Hospitalist Physician
  • Allegan, MI
  • NPI 1992668925
  NPD
• Beacon Dowagiac Inc

  dba Beacon Kalamazoo

  • Hospitalist Physician
  • Dowagiac, MI
  • NPI 1467315499
  NPD

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

• Beacon Kalamazoo Inc

  dba Ascension Borgess - Pipp Hospital

  • Long Term Care Hospital
  • Plainwell, MI
  • NPI 1154504892

  Long-term care hospital

  Care Compare affiliation
• Beacon Kalamazoo Inc

  dba Beacon Kalamazoo

  • General Acute Care Hospital
  • Kalamazoo, MI
  • NPI 1568416311
  Care Compare affiliation
• Bronson Methodist Hospital

  • General Acute Care Hospital
  • Kalamazoo, MI
  • NPI 1831116441
  Care Compare affiliation
• Ella E. M. Brown Charitable Circle

  dba Oaklawn Hospital

  • General Acute Care Hospital
  • Marshall, MI
  • NPI 1861475360
  Care Compare affiliation

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

{
    "created_epoch": "1250035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1073745808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 ROBERT JONES WAY",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490091904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 ROBERT JONES WAY",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490091904",
            "telephone_number": "269-552-0420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 N Park St",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490073731",
            "country_code": "US",
            "telephone_number": "269-373-7488",
            "fax_number": "269-373-7478",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1750 E Grand River Ave",
            "address_2": "Ste. 103",
            "address_purpose": "LOCATION",
            "city": "East Lansing",
            "state": "MI",
            "postal_code": "488234958",
            "country_code": "US",
            "telephone_number": "517-333-7113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "AMANDA",
        "middle_name": "DORIS",
        "credential": "PA-C, M.S., RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-12",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601006860",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601006860",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Mishler, OTRL
• Mazen Mislmani, M.D.
• Miss Melanie Helps
• Nikkita Mistry
• Merry Sue Mitchell-Battles, LMSW
• Angela Mitchell
• Ashley Mitchell
• Brandan Mitchell
• Cheryl A Mitchell, APRN
• Emily Mitchell

• Physician Assistant in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.