Individual provider Active NPI

Andrea Rae Mitchell

  • Psychiatric/Mental Health Nurse Practitioner
  • Milwaukee, WI
National Provider Identifier
1346948551
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
13613 Issued in WI
Practice address
10424 W Bluemound Rd
Milwaukee, WI 53226-4331
Phone
(414) 774-1794
NPI assigned
Feb 16, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 13613 WI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 13613 WI Primary

Addresses

Primary practice location

10424 W Bluemound Rd
Milwaukee, WI 53226-4331

Mailing address

W176N4829 Christopher CT
Menomonee Falls, WI 53051-6547
Phone (608) 774-4324

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20230425002321 WI Practitioner - Nurse Practitioner 9638534779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
American Behavioral Clinics SCGroup PAC ID 7517937964, 46 clinicians

Practice addresses (Care Compare)

7330 W Layton Ave
Milwaukee, WI 53220-3849
Phone (414) 281-1677

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
American Behavioral Clinics, SC CurrentSince Mar 19, 2023 Accepting new patients

Locations

1240 W Ranchito Ln
Mequon, WI 53092
Phone (262) 240-9946

7330 W Layton Ave
Milwaukee, WI 53220
Phone (414) 281-1677

331 E Puetz Rd
Oak Creek, WI 53154
Phone (414) 296-4065

10424 W Bluemound Rd
Wauwatosa, WI 53226
Phone (414) 206-1606

Organizations & group practices 1

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": "1676505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1346948551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W176N4829 CHRISTOPHER CT",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530516547",
            "telephone_number": "608-774-4324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10424 W BLUEMOUND RD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532264331",
            "telephone_number": "414-774-1794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "ANDREA",
        "middle_name": "RAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-16",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "13613",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "13613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.