Jessica Claire Mitchell
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Elsmere, KY
NPI 1265283204 · NPPES record last updated Mar 28, 2024
Key facts
- NPI
- 1265283204
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- APRN.CNP.0035280 (OH)
- Practice address
- 1639 Raintree CT
Elsmere, KY 41018-1898 - Phone
- (859) 308-7439
- NPI assigned
- Mar 28, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Alcove Ventures LLC
Mindcare Solutions PC
Practice addresses (Care Compare)
3567 Reserve Commons Dr
Suite 100
Medina, OH 44256-5344
Phone (330) 536-3746
3876 Turkeyfoot Rd
Erlanger, KY 41018-2838
Phone (330) 536-3746
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OH, KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240905004538 | OH | Practitioner - Nurse Practitioner | 0042750937 | Reassigns benefits to 1 organization |
| I20260605002136 | KY | Practitioner - Nurse Practitioner | 0042750937 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alcove Ventures LLC | Psychiatric/Mental Health | Current |
Accepting new patients |
Locations
10603 Detroit Ave
Cleveland, OH 44102
Phone (216) 226-0282
3567 Reserve Commons Dr
Ste 100
Medina, OH 44256
Phone (330) 664-9250
3593 Medina Rd
Medina, OH 44256
Phone (330) 664-9250
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN.CNP.0035280 | OH | Yes |
Addresses
Primary practice location
1639 Raintree CT
Elsmere, KY 41018-1898
Mailing address
1639 Raintree CT
Elsmere, KY 41018-1898
Phone (859) 308-7439
Other providers in Elsmere, KY
- Candra Colinette McIntosh
- Sarah Elizabeth McKinney
- Christopher Allen Mendiguren
- Daniel Metzger
- Tracy Meyers
- Tina Sherae Moore
- Bernadette Therese Murphy
- Northern Kentucky Independent District Health Department
- Kristi Marie Owen
- Passionate Care Home Health, LLC
All providers in Elsmere, KY · Psychiatric/Mental Health Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.