NPIMap

Individual provider Active NPI

Amber Noelle Mitchell, M.D.

  • Neurology Physician
  • Kingston, NY
National Provider Identifier
1275767675
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
276181 Issued in NY
Practice address
1240 Ulster Ave
Kingston, NY 12401-1517
Phone
(845) 331-5165
Fax
(845) 331-6238
NPI assigned
May 13, 2009
Last updated
Mar 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 66590 CT
Neurology Physician 2084N0400X 276181 NY Primary
Epilepsy Physician 2084E0001X 276181 NY

Addresses

Primary practice location

1240 Ulster Ave
Kingston, NY 12401-1517

Mailing address

1240 Ulster Ave
Kingston, NY 12401-1517
Phone (845) 331-5165

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT, SC3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20140910002201 NY Practitioner - Neurology 4587883251 Reassigns benefits to 1 organization
I20200727002235 CT Practitioner - Neurology 4587883251 Reassigns benefits to 1 organization
I20230927000625 SC Practitioner - Neurology 4587883251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1 Saint Francis Dr
Greenville, SC 29601-3955
Phone (513) 853-8520

1240 Ulster Ave
Kingston, NY 12401-1517

317 Saint Francis Dr
Suite 220
Greenville, SC 29601-3976
Phone (864) 255-1901

334 Plaza Rd
Kingston, NY 12401-2975
Phone (845) 876-3003

45 Reade PL
Poughkeepsie, NY 12601-3947

50 Hospital Hill Rd
Sharon, CT 06069-2096
Phone (860) 364-4000

6511 Spring Brook Ave
Rhinebeck, NY 12572-3709

6525 Spring Brook Ave
Rhinebeck, NY 12572-3709
Phone (845) 871-3760

670 Stoneleigh Ave
Carmel, NY 10512-3997

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.38 of 100Reported as group
Quality
63.01
Promoting interoperability
98
Improvement activities
40
Cost
72.3

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
66590CTMDNeurology Physician
276181NYMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Medical Group Greenville Specialty Care LLC CurrentSince Sep 3, 2023 Accepting new patients
Bon Secours Medical Group Greenville Specialty Care LLC Neurology CurrentSince Sep 3, 2023 Accepting new patients
Northern Dutchess Hospital Past Accepting new patients

Locations

317 Saint Francis Dr
Ste 220
Greenville, SC 29601
Phone (864) 255-1901

Interoperability endpoints

  • Direct secure messaging: amitche1@direct.health-quest.org

Organizations & group practices 4

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 6

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": "1242172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1275767675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 ULSTER AVE",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124011517",
            "telephone_number": "845-331-5165",
            "fax_number": "845-331-6238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 ULSTER AVE",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124011517",
            "telephone_number": "845-331-5165",
            "fax_number": "845-331-6238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "AMBER",
        "middle_name": "NOELLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-13",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CT",
            "license": "66590",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "276181",
            "primary": true
        },
        {
            "code": "2084E0001X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Epilepsy",
            "state": "NY",
            "license": "276181",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

Verify at the official NPI Registry.