Individual provider Active NPI

Kelsey Elisabeth Mitchell, APRN, FNP-C

  • Nurse Practitioner
  • Largo, FL
National Provider Identifier
1083311609
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11024343 Issued in FL
Practice address
8787 Bryan Dairy Rd
Largo, FL 33777-1251
Phone
(727) 394-5650
NPI assigned
Feb 14, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11024343 FL Primary

Addresses

Primary practice location

8787 Bryan Dairy Rd
Largo, FL 33777-1251

Mailing address

6913 Colley Rd
Odessa, FL 33556-3921
Phone (813) 909-5543

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kelsey.mitchellaprn@direct.mybaycare.org Health Information Exchange (HIE) BayCare Medical Group, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20230327000800 FL Practitioner - Nurse Practitioner 6800260274 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Medical Group, Inc. CurrentSince Mar 15, 2023 Accepting new patients
Baycare Medical Group, Inc. Nurse Practitioner Current Accepting new patients

Locations

2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300

8787 Bryan Dairy Rd
Ste 275
Seminole, FL 33777
Phone (727) 394-5500

1919 W Swann Ave
Fl 3
Tampa, FL 33606
Phone (813) 254-7079

1919 W Swann Ave
Fl 2
Tampa, FL 33606
Phone (813) 254-7078

12780 Race Track Rd
Ste 205
Tampa, FL 33626
Phone (813) 792-8878

Interoperability endpoints

  • Direct secure messaging: kelsey.mitchellaprn@direct.mybaycare.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1083311609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6913 COLLEY RD",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335563921",
            "telephone_number": "813-909-5543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8787 BRYAN DAIRY RD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337771251",
            "telephone_number": "727-394-5650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "KELSEY",
        "middle_name": "ELISABETH",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-14",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11024343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kelsey.mitchellaprn@direct.mybaycare.org",
            "affiliation": "Y",
            "affiliationName": "BayCare Medical Group, Inc.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2995 Drew St Fl 2",
            "city": "Clearwater",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337593012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.