Active NPI
Jennifer Mitchell, MD
- Family Medicine Physician
- Manor, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- R7823
- Practice address
- 11300 US Highway 290 E Ste 230
Manor, TX 78653-0397 - Phone
- (512) 582-6075
- Fax
- (512) 406-6275
- NPI assigned
- May 6, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R7823 | TX | Primary |
Addresses
Primary practice location
11300 US Highway 290 E Ste 230
Manor, TX 78653-0397
Mailing address
6210 E US Hwy 290
Suite 240 - Credentialing
Austin, TX 78723-1142
Phone (512) 483-9596
Other practice location 1
4755 Aldine Mail Route Rd
Houston, TX 77039-5934
Phone (281) 985-7600
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Texas Medical School at Houston, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11300 US Hwy 290 E BLDG 2 230
Arc Manor
Manor, TX 78653-0397
Phone (512) 582-6075
Hospital & facility affiliations
- Capitol Home Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R7823 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Austin Regional Clinic, PA | Current | Accepting new patients | |
| Austin Regional Clinic, PA | Family Medicine | Current | Accepting new patients |
Locations
6210 E Highway 290
Ste 240
Austin, TX 78723
6835 Austin Center Blvd
Austin, TX 78731
Phone (512) 231-5210
6210 E Highway 290
Austin, TX 78723
151 Exchange Blvd
Ste 500
Hutto, TX 78634
Phone (512) 846-1244
11300 US Highway 290 E
Bldg 2
Manor, TX 78653
11300 US Highway 290 E
Ste 230
Manor, TX 78653
Phone (512) 582-6075
940 Hesters Crossing Rd
Round Rock, TX 78681
Phone (512) 244-9024
Interoperability endpoints
- jmitchell27116@arcmd.direct-ci.com
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.
-
- Family Medicine Physician
- Austin, TX
- NPI 1821157579
-
- Durable Medical Equipment & Medical Supplies
- Kyle, TX
- NPI 1235746413
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Austin, TX
- NPI 1992021323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678060800000",
"number": "1124474325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6210 E US HWY 290",
"address_2": "SUITE 240 - CREDENTIALING",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787231142",
"telephone_number": "512-483-9596",
"fax_number": "512-406-6216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11300 US HIGHWAY 290 E STE 230",
"city": "MANOR",
"state": "TX",
"postal_code": "786530397",
"telephone_number": "512-582-6075",
"fax_number": "512-406-6275"
}
],
"practiceLocations": [
{
"address_1": "4755 Aldine Mail Route Rd",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770395934",
"country_code": "US",
"telephone_number": "281-985-7600",
"fax_number": "281-985-7620",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MITCHELL",
"first_name": "JENNIFER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-06",
"last_updated": "2023-03-06",
"certification_date": "2022-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "R7823",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manor, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.