Joshua Mitchem, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

C-APN.0003769-C-NP Issued in CO

Practice address

3519 Richmond Dr
Fort Collins, CO 80526-5995

Phone

(970) 204-0300

Fax

(970) 226-9041

NPI assigned

Jan 7, 2022

Last updated

May 25, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Banner Fort Collins PCP LLCGroup PAC ID 2567960396, 47 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Banner Fort Collins PCP LLC

  • Primary Care Clinic/Center
  • Fort Collins, CO
  • NPI 1831982891

  Single Specialty

  Medicare reassignment Care Compare group NPD
• VMD Primary Providers Colorado, Inc

  • Primary Care Clinic/Center
  • Fort Collins, CO
  • NPI 1275646614

  Single Specialty

  Medicare reassignment NPD
• Banner Health Physicians Colorado LLC

  • Multi-Specialty Clinic/Center
  • Greeley, CO
  • NPI 1073899134
  Medicare reassignment
• Banner Fort Collins PCP LLC

  • Multi-Specialty Clinic/Center
  • Fort Collins, CO
  • NPI 1013707207
  NPD (past)

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

{
    "created_epoch": "1641513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1144981572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3519 RICHMOND DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805265995",
            "telephone_number": "970-204-0300",
            "fax_number": "970-226-9041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3519 RICHMOND DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805265995",
            "telephone_number": "970-204-0300",
            "fax_number": "970-226-9041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1683 Main St",
            "address_purpose": "LOCATION",
            "city": "Windsor",
            "state": "CO",
            "postal_code": "805507921",
            "country_code": "US",
            "telephone_number": "970-686-0124",
            "fax_number": "970-686-0845",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "151 W Lake St Ste 1500",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805244124",
            "country_code": "US",
            "telephone_number": "970-237-8200",
            "fax_number": "970-237-8291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHEM",
        "first_name": "JOSHUA",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-07",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "C-APN.0003769-C-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Mitchell, OD
• Rebecca B Mitchell, LPC, MS
• Sara Rose Mitchell, LCSW
• Thomas Mitchell, MD
• Tracy Mitchell, PHARMD
• Robert A Mitchem III
• Lauren Mitrik, RN,BSN,CEN
• Emily Mitsch, RBT
• Madrid Mitton
• River Mizell

• Nurse Practitioner in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; 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.