Karri Jo Mitchell, A.P.N.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A03642 Issued in AR

Practice address

1012B E 22ND St
Stuttgart, AR 72160-6825

Phone

(870) 672-0911

Fax

(870) 672-0914

NPI assigned

Mar 6, 2012

Sex

Female

Sole proprietor

No

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.

• Grand Prairie Wellness Clinic PLLC

  • Family Medicine Physician
  • Stuttgart, AR
  • NPI 1679462337

  AR

  Medicare reassignment Care Compare group NPD
• Grand Prairie Medical Group, PLLC

  • Urgent Care Clinic/Center
  • Stuttgart, AR
  • NPI 1285047688

  AR

  Medicare reassignment NPD

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Grand Prairie Wellness Clinic PLLC 2 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in AR

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

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: karri.mitchell.1@33853.direct.athenahealth.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 15, 2015.

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434326400000",
    "number": "1346514403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 ALLEN WATKINS LN",
            "city": "DE WITT",
            "state": "AR",
            "postal_code": "720429506",
            "telephone_number": "870-946-2668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012B E 22ND ST",
            "city": "STUTTGART",
            "state": "AR",
            "postal_code": "721606825",
            "telephone_number": "870-672-0911",
            "fax_number": "870-672-0914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "KARRI",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "A.P.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-06",
        "last_updated": "2015-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A03642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Meador, BA, MS
• Carl J Meier
• Allyson Keely Melton, RD
• Michael J Mercer, MD
• Mid-Delta Health Systems, Inc.
• Miracle Monk, MSW
• Lauren Coker Moore, APRN
• Christopher Morgan, M.D.
• Kimberly Morgan
• Kathryn M Morris, APRN

• All providers in Stuttgart, AR
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; 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.
• 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.