Krystal Mitchell, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

234462 Issued in LA

Practice address

4300 Patriot St
Marrero, LA 70072-4305

Phone

(504) 371-1318

Fax

(504) 371-1328

NPI assigned

Feb 8, 2024

Last updated

May 15, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthcare Plus Limited Liability CompanyGroup PAC ID 5698038610, 120 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Healthcare Plus Limited Liability Company

  • Specialist
  • Metairie, LA
  • NPI 1063927465

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Wound Management Specialists, LLC

  • Nurse Practitioner
  • Flowood, MS
  • NPI 1972150084

  Family Medicine, LA

  Medicare reassignment NPD
• Access Health Louisiana

  dba Albert Cammon Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Saint Rose, LA
  • NPI 1013239508
  NPD (past)
• Access Health Louisiana

  dba AHL SBHC Paradis La.

  • Federally Qualified Health Center (FQHC)
  • Paradis, LA
  • NPI 1104239482

  Family Medicine

  NPD (past)
• Access Health Louisiana

  dba Destrehan High SBHC

  • Federally Qualified Health Center (FQHC)
  • Destrehan, LA
  • NPI 1114684859
  NPD (past)
• Access Health Louisiana

  dba St. James Alternative School

  • Federally Qualified Health Center (FQHC)
  • Vacherie, LA
  • NPI 1174285647
  NPD (past)
• Access Health Louisiana

  dba AHL Eye Associates of West Jefferson

  • Federally Qualified Health Center (FQHC)
  • Marrero, LA
  • NPI 1255226429
  NPD (past)
• Access Health Louisiana

  dba Hahnville High SBHC

  • Federally Qualified Health Center (FQHC)
  • Boutte, LA
  • NPI 1285393736
  NPD (past)
• Access Health Louisiana

  dba Catherine Strehle Elementary School SBHC

  • Federally Qualified Health Center (FQHC)
  • Avondale, LA
  • NPI 1295365666
  NPD (past)
• Access Health Louisiana

  dba Chateau Estates Elementary School SBHC

  • Federally Qualified Health Center (FQHC)
  • Kenner, LA
  • NPI 1306476874
  NPD (past)
• Access Health Louisiana

  dba Warren Easton High School SBHC

  • Federally Qualified Health Center (FQHC)
  • New Orleans, LA
  • NPI 1386062677

  Family Medicine

  NPD (past)
• Access Health Louisiana

  dba Plaquemine HS SBHC

  • Federally Qualified Health Center (FQHC)
  • Plaquemine, LA
  • NPI 1457704900
  NPD (past)

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

{
    "created_epoch": "1707350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1205690468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 MIDDEN DR",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700726611",
            "telephone_number": "504-419-4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 PATRIOT ST",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700724305",
            "telephone_number": "504-371-1318",
            "fax_number": "504-371-1328"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4300 Patriot St",
            "address_purpose": "LOCATION",
            "city": "Marrero",
            "state": "LA",
            "postal_code": "700724305",
            "country_code": "US",
            "telephone_number": "504-371-1318",
            "fax_number": "504-371-1328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "KRYSTAL",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-08",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "234462",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "234462",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Liantonio Miller, FNP-C
• Janieka S Mills
• Michelle Mullin Mims, M.D.
• Roxane W Minet, NP
• Bria Mitchell
• Roxanne Modica-Davis
• Kathryn Moffett, LCSW
• Shaza R Mohamed, M.D.
• Molecular Imaging of Louisiana, LLC
• Miguel Francisco Molina, MD

• Family Nurse Practitioner in Marrero, LA
• Providers in Marrero, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.