Jennifer Eleen Mitchell, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA06037 Issued in TX

Practice address

2012 FM 407 Ste 100
Lewisville, TX 75077-7193

Phone

(972) 317-1110

Fax

(972) 317-1556

NPI assigned

Feb 17, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Texas Health Presbyterian Hospital Flower Mound Hospital, Flower Mound, TX, CCN 670068
• Medical City Denton Hospital, Denton, TX, CCN 450634
• Medical City Lewisville Hospital, Lewisville, TX, CCN 450669
• Texas Health Presbyterian Hospital Denton Hospital, Denton, TX, CCN 450743

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jmitchell1495766@direct.texashealth.org

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.

• Texas Health Physicians Group

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1174573596
  Medicare reassignment Care Compare group
• Texas Health Physicians Group

  • Sleep Disorder Diagnostic Clinic/Center
  • Dallas, TX
  • NPI 1174992051
  NPD
• Texas Health Physicians Group

  • Internal Medicine Physician
  • Kaufman, TX
  • NPI 1992151740
  NPD

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

• Columbia Medical Center of Denton Subsidiary LP

  • General Acute Care Hospital
  • Denton, TX
  • NPI 1306897277
  Care Compare affiliation
• Columbia Medical Center of Lewisville Subsidiary LP

  • General Acute Care Hospital
  • Lewisville, TX
  • NPI 1255384533
  Care Compare affiliation
• Flower Mound Hospital Partners, LLC

  • General Acute Care Hospital
  • Flower Mound, TX
  • NPI 1902047376
  Care Compare affiliation
• Texas Health Presbyterian Hospital Denton

  • General Acute Care Hospital
  • Denton, TX
  • NPI 1003883158
  Care Compare affiliation

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

{
    "created_epoch": "1234828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1073752903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 FM 407 STE 100",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750777193",
            "telephone_number": "972-317-1110",
            "fax_number": "972-317-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 FM 407 STE 100",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750777193",
            "telephone_number": "972-317-1110",
            "fax_number": "972-317-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "JENNIFER",
        "middle_name": "ELEEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-17",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA06037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miracle Home Health, Inc
• Anna Maria Mirbahaeddin, CNP
• Amit Mirchandani, M.D.
• Karen Walker Mirsky, MS, CCC-SLP
• Freeda M Mitchell, LMFT
• Robyn Mitchell
• Amber Mkinga
• Reza Mobarak, DPM
• Mobility Health Inc.
• Nishani Modi, MS, CCC-SLP

• Physician Assistant in Lewisville, TX
• Providers in Lewisville, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.