William D Mitchell, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

135663 Issued in AK

Practice address

2913 Betin Ave
Monroe, LA 71201-7257

Phone

(318) 651-0041

Fax

(318) 651-8980

NPI assigned

May 15, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Primary Health Services Center

  • Federally Qualified Health Center (FQHC)
  • West Monroe, LA
  • NPI 1104384205
  NPD (past)
• Primary Health Services Center

  • Federally Qualified Health Center (FQHC)
  • Monroe, LA
  • NPI 1316291495
  NPD (past)
• South East Alaska Regional Health Consortium

  • Clinic/Center
  • Hydaburg, AK
  • NPI 1073728168
  NPD (past)
• South East Alaska Regional Health Consortium

  • Clinic/Center
  • Wrangel, AK
  • NPI 1487836391
  NPD (past)
• South East Alaska Regional Health Consortium

  • Clinic/Center
  • Kasaan, AK
  • NPI 1962616821
  NPD (past)
• Southeast Alaska Regional Health Consortium

  • Critical Access Hospital
  • Sitka, AK
  • NPI 1720062524
  NPD (past)

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

{
    "created_epoch": "1463270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1285081752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2913 DESIARD ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712017207",
            "telephone_number": "318-388-1250",
            "fax_number": "318-651-8980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2913 BETIN AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712017257",
            "telephone_number": "318-651-0041",
            "fax_number": "318-651-8980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "WILLIAM",
        "middle_name": "D",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-15",
        "last_updated": "2021-10-22",
        "certification_date": "2021-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AK",
            "license": "135663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA STATE MEDICAL BOARD",
            "identifier": "324084",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "135663",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angelica R Mitchell
• Jessica Mitchell
• Lori K Mitchell, CRNA
• Pamela Denise Mitchell
• Whitney Mitchell
• Lyndsay Jenkins Mixon, ACNP
• MJM by Nacole LLC
• Mobility Scooter Rentals of Louisiana
• Caroline Elizabeth Moeller, PHARMD
• Lakeitha Moffett

• Physician Assistant in Monroe, LA
• Providers in Monroe, LA by specialty
• Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.