NPIMap

Individual provider Active NPI

Rachael D. Mitchell, PA-C

  • Medical Physician Assistant
  • Clendenin, WV
National Provider Identifier
1114266327
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1715 Issued in WV
Practice address
107 Koontz Ave Ste 200
Clendenin, WV 25045-9581
Phone
(304) 548-7272
Fax
(304) 548-7149
NPI assigned
Feb 7, 2013
Last updated
May 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1715 WV Primary

Addresses

Primary practice location

107 Koontz Ave Ste 200
Clendenin, WV 25045-9581

Mailing address

104 Alex LN
Charleston, WV 25304-2952
Phone (304) 734-2040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130430000653 WV Practitioner - Physician Assistant 9436396967 Reassigns benefits to 12 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
THS Physician Partners IncGroup PAC ID 9537316393, 366 clinicians
Womencare IncGroup PAC ID 4587568134, shared by 19 NPIs, 52 clinicians

Practice addresses (Care Compare)

1097 Fledderjohn Rd
Suite 1
Charleston, WV 25314-4208
Phone (304) 345-3627

97 Great Teays Blvd
Suite 6
Scott Depot, WV 25560-9816
Phone (304) 757-6999

9709 Maccorkle Ave
B
Marmet, WV 25315-1847
Phone (304) 757-6999

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cabin Creek Health Center, Inc. CurrentSince Feb 20, 2019 Accepting new patients
Women Care Inc CurrentSince Jan 18, 2023 Accepting new patients
Womencare, Inc Current Accepting new patients
Womencare Inc CurrentSince Jan 18, 2023 Accepting new patients
Womencare Inc CurrentSince Jan 18, 2023 Accepting new patients
Womencare Inc CurrentSince Jan 18, 2023 Accepting new patients
Womencare Inc Current Accepting new patients
Womencare Inc CurrentSince Jan 18, 2023 Accepting new patients
Womencare Inc CurrentSince Jan 18, 2023 Accepting new patients
Womencare, Inc CurrentSince Jan 18, 2023 Accepting new patients
Womencare, Inc CurrentSince Jan 18, 2023 Accepting new patients
Womencare Inc CurrentSince Jan 18, 2023 Accepting new patients
Womencare Inc CurrentSince Jan 18, 2023 Accepting new patients
Womencare Inc Current Accepting new patients
Womencare Inc Current Accepting new patients
Womencare Inc CurrentSince Apr 16, 2023 Accepting new patients
Womencare, Inc Current Accepting new patients

Locations

2 Chateau Ln
Barboursville, WV 25504
Phone (304) 736-9459

100 Florida St
Charleston, WV 25302
Phone (304) 348-6613

104 Alex Ln
Charleston, WV 25304
Phone 30473420401319

108 Washington St W
#201
Charleston, WV 25302
Phone (304) 757-4845

108 Washington St W
Ste 201
Charleston, WV 25302
Phone (304) 345-2229

116 Hills Plz
Charleston, WV 25387
Phone (304) 720-4446

1220 Lee St E
Ste 201
Charleston, WV 25301
Phone (304) 342-7186

1500 Greenbrier St
Ste 160
Charleston, WV 25311

501 Stockton St
Charleston, WV 25387
Phone (304) 720-4466

800 Pennsylvania Ave
Charleston, WV 25302
Phone (304) 388-2550

812 Park Ave
#35
Charleston, WV 25302
Phone (304) 720-4466

812 Park Ave
Rm 35
Charleston, WV 25302

107 Koontz Ave
Ste 200
Clendenin, WV 25045
Phone (304) 548-7272

5161 Washington St W
Cross Lanes, WV 25313
Phone (304) 722-7600

301 Washington Ave
Dunbar, WV 25064
Phone (304) 766-3323

301 Washington Ave
Rm 4
Dunbar, WV 25064

503 Roosevelt Blvd
Eleanor, WV 25070
Phone (304) 586-0001

3109 Teays Valley Rd
Hurricane, WV 25526
Phone (304) 562-2002

3911 Teays Valley Rd
Hurricane, WV 25526
Phone (304) 757-4845

515 Main St
Madison, WV 25130
Phone (304) 369-0393

9709 Maccorkle Ave
#B
Marmet, WV 25315

12 Kanawha Ter
Saint Albans, WV 25177
Phone (304) 201-1130

97 Great Teays Blvd
Ste 6
Scott Depot, WV 25560

4513 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 768-7371

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7363/brand/1/csg/1/fhir/r4
  • Direct secure messaging: rachael.mitchell.1@7363.direct.athenahealth.com

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1360195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590019200000",
    "number": "1114266327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 ALEX LN",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253042952",
            "telephone_number": "304-734-2040",
            "fax_number": "304-734-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 KOONTZ AVE STE 200",
            "city": "CLENDENIN",
            "state": "WV",
            "postal_code": "250459581",
            "telephone_number": "304-548-7272",
            "fax_number": "304-548-7149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "RACHAEL",
        "middle_name": "D.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-07",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WV",
            "license": "1715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clendenin, WV

Sources for this page

Verify at the official NPI Registry.