Jessica Irene Mitchell, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95002697 Issued in CA

Practice address

2210 E Illinois Ave Ste 408
Fresno, CA 93701-2184

Phone

(559) 443-2694

Fax

(559) 443-2696

NPI assigned

Jul 31, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jessica Irene Johnston Former name

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Planned Parenthood Mar Monte IncGroup PAC ID 1456248954, 31 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jessica.mitchell.p1@direct.omnifamilyhealth.nextgenshare.com
• Direct secure messaging: jessica.mitchell.p1@direct.ppmarmonte.nextgenshare.com

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.

• Planned Parenthood Mar Monte, Inc

  • Community Health Clinic/Center
  • Stockton, CA
  • NPI 1174579957
  Medicare reassignment Care Compare group NPD
• Planned Parenthood Mar Monte, Inc

  • Community Health Clinic/Center
  • Modesto, CA
  • NPI 1154375624
  NPD
• Planned Parenthood Mar Monte, Inc

  • Community Health Clinic/Center
  • Sacramento, CA
  • NPI 1679526610
  NPD
• Omni Family Health

  • Federally Qualified Health Center (FQHC)
  • Delano, CA
  • NPI 1417962457
  NPD (past)
• Planned Parenthood Mar Monte, Inc

  • Community Health Clinic/Center
  • San Jose, CA
  • NPI 1043263189
  NPD (past)

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

{
    "created_epoch": "1501459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1346764479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 E DIVISADERO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211431",
            "telephone_number": "559-443-2682",
            "fax_number": "559-443-2681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 E ILLINOIS AVE STE 408",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937012184",
            "telephone_number": "559-443-2694",
            "fax_number": "559-443-2696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "JESSICA",
        "middle_name": "IRENE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-31",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95002697",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95002697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "JOHNSTON",
            "middle_name": "IRENE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andre Mitchell
• Chalise Mitchell
• Chris Mitchell
• Edsel Eugene Mitchell, LMFT
• Janaelyn Lashae Mitchell, LMFT #135096
• Jodi Mitchell, MA
• Jordan Noel Mitchell
• Julie M Mitchell, MD
• Kristen Mitchell
• Laquesha J Mitchell

• Nurse Practitioner in Fresno, CA
• Providers in Fresno, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.