Individual provider Active NPI

Samantha Mitchell

  • Family Nurse Practitioner
  • Denver, CO
National Provider Identifier
1104656842
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2024030392 Issued in CO
Practice address
895 S Logan St Unit a
Denver, CO 80209-4127
Phone
(303) 733-3764
NPI assigned
Aug 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2024030392 CO Primary

Addresses

Primary practice location

895 S Logan St Unit a
Denver, CO 80209-4127

Mailing address

15101 E Iliff Ave Ste 140
Aurora, CO 80014-4548
Phone (720) 878-7055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20241016003234 CO Practitioner - Nurse Practitioner 4486186350 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Homedoc, PCGroup PAC ID 2961936927, 43 clinicians

Practice addresses (Care Compare)

8354 E Northfield Blvd
Suite 329
Denver, CO 80238-3131
Phone (720) 607-9207

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2024030392COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mednow Clinics, Inc CurrentSince Sep 9, 2024 Accepting new patients
Ih Physician Services 2, PC CurrentSince Feb 9, 2026 Accepting new patients
Homedoc, PC CurrentSince Feb 10, 2026 Accepting new patients
Pinon Family Practice LLP Past Accepting new patients

Locations

380 Perry St
Ste 210A
Castle Rock, CO 80104
Phone (720) 501-4926

895 S Logan St
Unit A
Denver, CO 80209
Phone (303) 733-3764

8354 E Northfield Blvd
#329
Denver, CO 80238
Phone (720) 607-9207

15101 E Iliff Ave
Ste 140
Denver, CO 80014
Phone (303) 584-7850

Interoperability endpoints

  • Direct secure messaging: samanthamitchell@pfp.ssdirect.aprima.com

Organizations & group practices 4

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": "1722902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1104656842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15101 E ILIFF AVE STE 140",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800144548",
            "telephone_number": "720-878-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 S LOGAN ST UNIT A",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802094127",
            "telephone_number": "303-733-3764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-06",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "2024030392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.