Individual provider Active NPI

Heather R Mitchell

  • Family Nurse Practitioner
  • Manchester, PA
National Provider Identifier
1255707444
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP026145 Issued in PA
Practice address
4314 N. George St Ext'D
Manchester, PA 17345
Phone
(717) 266-0252
Fax
(717) 266-2199
NPI assigned
Aug 11, 2015
Last updated
Dec 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024172676 VA
Family Nurse Practitioner 363LF0000X SP026145 PA Primary

Addresses

Primary practice location

4314 N. George St Ext'D
Manchester, PA 17345

Mailing address

4314 N. George St Ext'D
Manchester, PA 17345-1307
Phone (717) 266-0252

Other practice location 1

5007 Victory Blvd Ste 2
Tabb, VA 23693-5606
Phone (757) 234-7987

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hmitchelll230114@phsdirect.pinnaclehealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171011000111 DC Practitioner - Nurse Practitioner 0143539106 Reassigns benefits to 1 organization
I20221018000053 PA Practitioner - Nurse Practitioner 0143539106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4314 N George St Ext
Memorial Family Medicine at Manchester
Manchester, PA 17345-1307
Phone (717) 266-0252

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024172676VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Regional Physicians CurrentSince Oct 3, 2022 Accepting new patients
Maryland Primary Care Physicians, LLC CurrentSince Aug 25, 2017 Accepting new patients
Pinnacle Health Regional Physicians CurrentSince Oct 3, 2022 Accepting new patients
Pinnacle Health Regional Physicians PastSince Oct 16, 2022 Accepting new patients
Pinnacle Health Medical Services Past Accepting new patients

Locations

4201 Mitchellville Rd
Ste 102
Bowie, MD 20716
Phone (301) 262-5900

210 Forge Rd
Boiling Springs, PA 17007
Phone (717) 249-8300

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

4314 N George Street Ext
Manchester, PA 17345
Phone (717) 266-0252

Organizations & group practices 5

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.

Hospital & facility affiliations 7

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": "1439251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1255707444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4314 N. GEORGE ST EXT'D",
            "city": "MANCHESTER",
            "state": "PA",
            "postal_code": "173451307",
            "telephone_number": "717-266-0252",
            "fax_number": "717-266-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4314 N. GEORGE ST EXT'D",
            "city": "MANCHESTER",
            "state": "PA",
            "postal_code": "17345",
            "telephone_number": "717-266-0252",
            "fax_number": "717-266-2199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5007 Victory Blvd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Tabb",
            "state": "VA",
            "postal_code": "236935606",
            "country_code": "US",
            "telephone_number": "757-234-7987",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "HEATHER",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-11",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024172676",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP026145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hmitchelll230114@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4314 N. George St Ext'd",
            "city": "Manchester",
            "state": "PA",
            "country_code": "US",
            "postal_code": "17345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manchester, PA

Sources for this page

Verify at the official NPI Registry.