Jennifer Laura Mitchell, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

125363 Issued in AK

Practice address

3719 E Meridian Loop Ste E
Wasilla, AK 99654-7273

Phone

(907) 600-0030

Fax

(907) 206-7153

NPI assigned

Jun 7, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

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 1

Specialty

Otolaryngology

Education

University of New Mexico School of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Medical Network of Alaska LLCGroup PAC ID 3072618859, 70 clinicians

Alaska Facial Plastic Surgery and ENTGroup PAC ID 6002238771, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mat-Su Regional Medical Center Hospital, Palmer, AK, CCN 020006
• Providence Alaska Medical Center Hospital, Anchorage, AK, CCN 020001

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jennifer.mitchell.1@27294.direct.athenahealth.com

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.

• Alaska Facial Plastic Surgery & ENT

  • Otolaryngology/Facial Plastic Surgery Physician
  • Wasilla, AK
  • NPI 1114548351
  Medicare reassignment Care Compare group NPD
• Medical Network of Alaska, LLC

  • Urgent Care Clinic/Center
  • Wasilla, AK
  • NPI 1538414834
  Medicare reassignment Care Compare group NPD
• Ear, Nose and Throat Specialists Alaska, Inc.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Anchorage, AK
  • NPI 1972552891
  Medicare reassignment NPD
• Medical Network of Alaska, LLC

  • Clinical Medical Laboratory
  • Wasilla, AK
  • NPI 1467167585
  NPD
• Medical Network of Alaska, LLC

  • Specialist
  • Wasilla, AK
  • NPI 1508089046
  NPD
• Medical Network of Alaska, LLC

  • Otolaryngology Physician
  • Anchorage, AK
  • NPI 1922862986
  NPD

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

• Mat-Su Valley Medical Center LLC

  • General Acute Care Hospital
  • Palmer, AK
  • NPI 1417975061
  Care Compare affiliation
• Providence Health & Services Washington

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1053363119
  Care Compare affiliation

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1104110246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 75045",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606755045",
            "telephone_number": "907-600-0030",
            "fax_number": "907-206-7153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3719 E MERIDIAN LOOP STE E",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547273",
            "telephone_number": "907-600-0030",
            "fax_number": "907-206-7153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3340 Providence Dr # A363",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995084691",
            "country_code": "US",
            "telephone_number": "907-600-0030",
            "fax_number": "907-206-7153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "JENNIFER",
        "middle_name": "LAURA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-07",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "AK",
            "license": "125363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miracle Home Care
• Christi Miranda
• Nathan Missler, OTRL
• Carol Lee Mitchell, BS, C-SLPA
• Holly Mitchell
• Jessica Mitchell, PTA
• Uriah Zacchaeus Mitchell, MS
• Mobility Solutions of Alaska
• Christopher Mobley, LPN
• Luanne Moeller, RN

• Otolaryngology Physician in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Otolaryngology Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; 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.