Individual provider Active NPI

Sara Joanne Mitchem, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Kuna, ID
National Provider Identifier
1245947720
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
74437 Issued in ID
Practice address
2286 Poen Rd
Kuna, ID 83634-1783
Phone
(208) 830-2518
NPI assigned
Nov 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 74437 ID Primary

Addresses

Primary practice location

2286 Poen Rd
Kuna, ID 83634-1783

Mailing address

2286 Poen Rd
Kuna, ID 83634-1783
Phone (208) 830-2518

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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

Enrollment IDStateProvider typePAC IDDetails
I20230125000333 ID Practitioner - Nurse Practitioner 1951772268 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

3597 E Monarch Sky LN
Suite 240
Meridian, ID 83646-1055
Phone (866) 630-0966

Merit-based Incentive Payment System (MIPS)

Final score
88.95 of 100Reported as group
Quality
67.72
Promoting interoperability
98
Improvement activities
40
Cost
63.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC Psychiatric/Mental Health CurrentSince Apr 14, 2025 Accepting new patients
Mental Health Specialty Group PA CurrentSince Jul 1, 2025 Accepting new patients

Locations

950 W Bannock St
Boise, ID 83702
Phone (208) 602-7007

950 W Bannock St
Ste 1100
Boise, ID 83702
Phone (201) 293-7689

3597 E Monarch Sky Ln
Ste 240
Meridian, ID 83646
Phone (208) 996-3519

Interoperability endpoints

  • Direct secure messaging: sara.mitchem.2@24259.direct.athenahealth.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.

NPI Registry JSON

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

{
    "created_epoch": "1667433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1245947720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2286 POEN RD",
            "city": "KUNA",
            "state": "ID",
            "postal_code": "836341783",
            "telephone_number": "208-830-2518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2286 POEN RD",
            "city": "KUNA",
            "state": "ID",
            "postal_code": "836341783",
            "telephone_number": "208-830-2518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHEM",
        "first_name": "SARA",
        "middle_name": "JOANNE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-03",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "74437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kuna, ID

Sources for this page

Verify at the official NPI Registry.