Individual provider Active NPI

Jennifer Mitchell, MD

  • Family Medicine Physician
  • Manor, TX
National Provider Identifier
1124474325
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R7823 Issued in TX
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

Updated by the provider on Mar 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191021002116 TX Practitioner - Family Practice 7214226935 Reassigns benefits to 1 organization

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
Austin Regional Clinic PAGroup PAC ID 3072507789, 398 clinicians

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 Home health agency, Austin, TX, CCN 747581

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R7823TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Regional Clinic, PA CurrentSince Apr 5, 2022 Accepting new patients
Austin Regional Clinic, PA Family Medicine CurrentSince Apr 5, 2022 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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

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

Verify at the official NPI Registry.