NPIMap

Individual provider Active NPI

Jessica Mitchell, PA-C

  • Physician Assistant
  • Cheektowaga, NY
National Provider Identifier
1356391395
Registry record updated Sep 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
008272 Issued in NY
Practice address
3085 Harlem Rd
Suite 350
Cheektowaga, NY 14225-2591
Phone
(716) 844-5600
Fax
(716) 844-5750
NPI assigned
May 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 008272 NY Primary

Addresses

Primary practice location

3085 Harlem Rd
Suite 350
Cheektowaga, NY 14225-2591

Mailing address

104 Wimbledon CT
Apt 7
West Seneca, NY 14224-1931
Phone (585) 322-4976

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20041201000658 NY Practitioner - Physician Assistant 9234194200 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rpci Oncology, PCGroup PAC ID 3870731029, 62 clinicians

Practice addresses (Care Compare)

199 Park Club LN
Williamsville, NY 14221-5269

3041 Orchard Park Rd
Suite C
Orchard Park, NY 14127-1238
Phone (716) 674-3104

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
008272NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Saif Soniwala,M.D.,PC Current Accepting new patients
Arcadia Family Practice, P.C. Past Accepting new patients

Locations

199 Park Club Ln
Ste 200
Williamsville, NY 14221
Phone (716) 634-3340

Interoperability endpoints

  • Direct secure messaging: jessica.smith@tfmpi.eclinicaldirectplus.com
  • Direct secure messaging: msjmitc157@landmarkhealth-direct.org
  • Direct secure messaging: ms_jmitc157@landmarkhealth-direct.org

Organizations & group practices 3

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 8

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472774400000",
    "number": "1356391395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 WIMBLEDON CT",
            "address_2": "APT 7",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142241931",
            "telephone_number": "585-322-4976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3085 HARLEM RD",
            "address_2": "SUITE 350",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142252591",
            "telephone_number": "716-844-5600",
            "fax_number": "716-844-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "JESSICA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2016-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "008272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheektowaga, NY

Sources for this page

Verify at the official NPI Registry.