NPIMap

Individual provider Active NPI

Amy Beth Mitchell, D.O.

  • Family Medicine Physician
  • Ankeny, IA
National Provider Identifier
1295718286
Registry record updated Jan 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3641 Issued in IA
Practice address
2605 SW White Birch Drive
Ankeny, IA 50023-7235
Phone
(515) 643-7100
Fax
(515) 643-7145
NPI assigned
Nov 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 3641 IA Primary

Addresses

Primary practice location

2605 SW White Birch Drive
Ankeny, IA 50023-7235

Mailing address

PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 643-7100

Other identifiers 3

IdentifierTypeStateIssuer
3465195MedicaidIA
49226OtherIAWELLMARK BLUE SHIELD
14651957MedicaidIA

Other names 1

  • Amy Beth Vandenhull Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050920000832 IA Practitioner - Family PracticePractitioner - Emergency Medicine 0446284491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tidd-Krafft Occupational and Physical Therapy PA 32 clinicians
Mercy Clinics Inc 441 clinicians

Practice addresses (Care Compare)

1275 SW State St
Ankeny, IA 50023-2545
Phone (515) 895-4560

2605 SW White Birch Dr
Mercyone Ankeny Prairie Trail Family Medici
Ankeny, IA 50023-7235
Phone (515) 643-7100

2605 SW White Birch Dr
Mercyone S Des Moines Behavioral Health Car
Ankeny, IA 50023-7204
Phone (515) 643-8350

Hospital & facility affiliations

  • Aveanna Healthcare Home health agency, West Des Moines, IA, CCN 167426
  • Mercyone Des Moines Home Care Home health agency, Des Moines, IA, CCN 167133
  • Mercyone Des Moines Medical Center Hospital, Des Moines, IA, CCN 160083
  • Unitypoint Health - Des Moines Iowa Methodist Medi Hospital, Des Moines, IA, CCN 160082

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3641IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinics, Inc Family Medicine CurrentSince Jul 23, 2007 Accepting new patients
Mercy Clinics, Inc. Family Medicine Current Accepting new patients
Mercy Clinics, Inc. CurrentSince Jul 23, 2007 Accepting new patients
Mercy Clinics, Inc. Current Accepting new patients
Mercy Clinics Inc Current Accepting new patients

Locations

800 E 1st St
Ste 1700
Ankeny, IA 50021
Phone (515) 643-8100

2605 SW White Birch Dr
Ankeny, IA 50023
Phone (515) 643-7100

330 Laurel St
Ste 1200
Des Moines, IA 50314
Phone (515) 643-5454

1601 NW 114th St
Ste 247
Des Moines, IA 50325
Phone (515) 222-7000

1350 Des Moines St
Ste 110
Des Moines, IA 50309
Phone (515) 358-6500

405 SW 5th St
Ste E
Des Moines, IA 50309
Phone (515) 358-7259

204 N 4th Ave E
Newton, IA 50208
Phone (641) 791-4800

5900 E University Ave
Ste 100
Pleasant Hill, IA 50327
Phone (515) 643-2400

6200 Aurora Ave
Ste 100W
Urbandale, IA 50322
Phone (515) 270-1177

Interoperability endpoints

  • Direct secure messaging: amitchell3952248@direct.trinity-health.org

Organizations & group practices 8

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.

Hospital & facility affiliations 9

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": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326326400000",
    "number": "1295718286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1475",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503051475",
            "telephone_number": "515-643-7100",
            "fax_number": "515-643-7145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 SW WHITE BIRCH DRIVE",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500237235",
            "telephone_number": "515-643-7100",
            "fax_number": "515-643-7145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "AMY",
        "middle_name": "BETH",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-22",
        "last_updated": "2012-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "3641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3465195",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BLUE SHIELD",
            "identifier": "49226",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14651957",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "VANDENHULL",
            "middle_name": "BETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ankeny, IA

Sources for this page

Verify at the official NPI Registry.