Individual provider Active NPI

Kristen E Mitchell, OT

  • Occupational Therapist
  • Evansville, IN
National Provider Identifier
1285610550
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
31004186A Issued in IN
Practice address
5828 Pearl Dr
Evansville, IN 47712-8116
Phone
(812) 437-1420
Fax
(812) 437-1425
NPI assigned
Dec 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X R3371 KY
Occupational Therapist 225X00000X 31004186A IN Primary

Addresses

Primary practice location

5828 Pearl Dr
Evansville, IN 47712-8116

Mailing address

PO Box 922
Evansville, IN 47706-0922
Phone (866) 309-5567

Other identifiers 1

IdentifierTypeStateIssuer
200839500MedicaidIN

Other names 1

  • Kristen E Maurer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061218000354 IN Practitioner - Occupational Therapist in Private Practice 8022017136 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oa Therapy LLCGroup PAC ID 7618006453, 24 clinicians

Practice addresses (Care Compare)

5828 Pearl Dr
Evansville, IN 47712-8116
Phone (812) 437-1420

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31004186AINMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Oa Therapy LLC Occupational Therapist CurrentSince Jun 5, 2017 Accepting new patients
Prorehab Inc Occupational Therapist Past Accepting new patients
Tri-State Orthopaedic Surgeons, Inc. Past Accepting new patients
Prorehab at Vincennes, LLC Past Accepting new patients

Locations

1150 Lincoln Ave
Evansville, IN 47714
Phone (812) 402-4263

515 Read St
Evansville, IN 47710
Phone (812) 437-1420

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1285610550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 922",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477060922",
            "telephone_number": "866-309-5567",
            "fax_number": "812-491-1269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5828 PEARL DR",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477128116",
            "telephone_number": "812-437-1420",
            "fax_number": "812-437-1425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "KRISTEN",
        "middle_name": "E",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-19",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "R3371",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31004186A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200839500",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "MAURER",
            "middle_name": "E",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.