Abby Renee Mitchell, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

10003696A Issued in IN

Practice address

955 N 400W
Jasper, IN 47546-9727

Phone

(812) 661-2021

NPI assigned

Apr 26, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Abby Renee Libbert Former name

Medicare fee-for-service enrollment

Enrolled in IN

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

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Martin County Urgent Care LLCGroup PAC ID 9335502459, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Women'S Hospital Hospital, Newburgh, IN, CCN 150149

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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 and National Provider Directory roles.

• Martin County Urgent Care LLC

  • Urgent Care Clinic/Center
  • Loogootee, IN
  • NPI 1346923414
  Medicare reassignment Care Compare group
• Women'S Health Care, PC

  • Obstetrics & Gynecology Physician
  • Newburgh, IN
  • NPI 1174590509
  Medicare reassignment NPD
• Deaconess Clinic Inc

  • Pediatrics Physician
  • Washington, IN
  • NPI 1356132310

  Physician Assistant

  NPD
• Deaconess Clinic Inc.

  • Family Medicine Physician
  • Newburgh, IN
  • NPI 1033365986

  Physician Assistant

  NPD
• Medical of Dubois a Professional Corporation

  • Urgent Care Clinic/Center
  • Jasper, IN
  • NPI 1184719155
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Deaconess Women'S Hospital of Southern Indiana, LLC

  • General Acute Care Hospital
  • Newburgh, IN
  • NPI 1114023512
  Care Compare affiliation

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

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1275277162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 N 400W",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475469727",
            "telephone_number": "812-661-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 N 400W",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475469727",
            "telephone_number": "812-661-2021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4199 Gateway Blvd Ste 2300",
            "address_purpose": "LOCATION",
            "city": "Newburgh",
            "state": "IN",
            "postal_code": "476308966",
            "country_code": "US",
            "telephone_number": "812-858-4610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "ABBY",
        "middle_name": "RENEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-26",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10003696A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABBY",
            "last_name": "LIBBERT",
            "middle_name": "RENEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gabrielle Karlene Michel, MS, OTD, OTR
• Midwest Anesthesia Corporation
• Ciera Miles, LCSW
• Jessica Cody Miller, LCSW
• Samantha Miller
• Ashley Mitchell, SLP
• Jonathan David Mitchell, DPT
• Monesmith & Wood Oral and Maxillofacial Surgery PC
• Matthew Brian Monesmith, D.D.S.
• Stacy Moore-Nolan, LCSW

• Physician Assistant in Jasper, IN
• Providers in Jasper, IN by specialty
• Physician Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.
• 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.