Individual provider Active NPI

Sheri J Mitchell, FNP

  • Family Nurse Practitioner
  • Rancho Mirage, CA
National Provider Identifier
1326236340
Registry record updated May 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
17773 Issued in CA
Practice address
34490 Bob Hope Dr.
Rancho Mirage, CA 92270-0000
Phone
(760) 568-3613
Fax
(760) 340-5189
NPI assigned
Oct 4, 2007
Last updated
May 26, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 17773 CA Primary

Addresses

Primary practice location

34490 Bob Hope Dr.
Rancho Mirage, CA 92270-0000

Mailing address

34490 Bob Hope Dr.
Rancho Mirage, CA 92270-0000
Phone (760) 568-3613

Other practice location 1

57475 29 Palms Hwy
Suite 101
Yucca Valley, CA 92284-2906
Phone (760) 365-9878

Other practice location 2

39800 Bob Hope Dr Ste C
Rancho Mirage, CA 92270-3946
Phone (760) 568-3613

Other identifiers 1

IdentifierTypeStateIssuer
17773OtherCABOARD OF REG NURSING

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20090716000499 CA Practitioner - Nurse Practitioner 9638221971 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Desert Hematology-Oncology Medical Group IncGroup PAC ID 2567470214, 10 clinicians

Practice addresses (Care Compare)

34490 Bob Hope Dr
Rancho Mirage, CA 92270-1713
Phone (760) 568-3613

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Hematology-Oncology Medical Group Inc CurrentSince Oct 20, 2018 Accepting new patients
Varun Gupta MD Professional Corporation Past Accepting new patients

Locations

34490 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 568-3613

39800 Bob Hope Dr
Ste C
Rancho Mirage, CA 92270
Phone (760) 568-3613

Organizations & group practices 2

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 1

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": "1191456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590451200000",
    "number": "1326236340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34490 BOB HOPE DR.",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922700000",
            "telephone_number": "760-568-3613",
            "fax_number": "760-340-5189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34490 BOB HOPE DR.",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922700000",
            "telephone_number": "760-568-3613",
            "fax_number": "760-340-5189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "57475 29 Palms Hwy",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Yucca Valley",
            "state": "CA",
            "postal_code": "922842906",
            "country_code": "US",
            "telephone_number": "760-365-9878",
            "fax_number": "206-309-0387",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "39800 Bob Hope Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Rancho Mirage",
            "state": "CA",
            "postal_code": "922703946",
            "country_code": "US",
            "telephone_number": "760-568-3613",
            "fax_number": "760-340-5189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "SHERI",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-04",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "17773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF REG NURSING",
            "identifier": "17773",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

Verify at the official NPI Registry.