Stacey Michelle Mitchell, RN, ANP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

175391 Issued in CO

Practice address

799 E Hampden Ave Ste 525
Englewood, CO 80113-2786

Phone

(303) 321-2644

Fax

(303) 321-2446

NPI assigned

Jul 8, 2009

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

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.

• Denver Endocrinology, Diabetes and Thyroid Center, PC

  • Medical Specialty Clinic/Center
  • Englewood, CO
  • NPI 1336361096
  Medicare reassignment

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1154550465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "799 E HAMPDEN AVE STE 525",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132786",
            "telephone_number": "303-321-2644",
            "fax_number": "303-321-2446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 E HAMPDEN AVE STE 525",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132786",
            "telephone_number": "303-321-2644",
            "fax_number": "303-321-2446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "STACEY",
        "middle_name": "MICHELLE",
        "credential": "RN, ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-08",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CO",
            "license": "175391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Sarah Misch, MD
• Benjamin James Mitchell, MD
• Michelle Mitchell, DPT
• Savannah Mitchell, LPC
• Shawna Rae Mitchell, FNP-C
• MK Healthcare PLLC
• MM Waddell Health Services Inc
• Kian Ali Modanlou, M.D.
• Mats Moe
• Olivia Moeller, MS CNS

• Adult Health Nurse Practitioner in Englewood, CO
• Providers in Englewood, CO by specialty
• Adult Health Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.