Active NPI
Elizabeth Mitchko
- Family Nurse Practitioner
- Noblesville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71006838A
- Practice address
- 14297 Bergen Blvd Ste 125
Noblesville, IN 46060-3420 - Phone
- (317) 900-1633
- NPI assigned
- Feb 3, 2017
- Last updated
- Feb 7, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71006838A | IN | Primary |
Addresses
Primary practice location
14297 Bergen Blvd Ste 125
Noblesville, IN 46060-3420
Mailing address
14297 Bergen Blvd Ste 125
Noblesville, IN 46060-3420
Phone (317) 512-5105
Other practice location 1
2451 Intelliplex Dr
Shelbyville, IN 46176-8580
Phone (317) 512-5105
Other practice location 2
7273 Vanderbilt Beach Rd Ste 19
Naples, FL 34119-1478
Phone (239) 331-7607
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Well Infused, LLC | Current | Accepting new patients |
Locations
14297 Bergen Blvd
Ste 125
Noblesville, IN 46060
Phone (317) 674-8857
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738886400000",
"number": "1386182954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14297 BERGEN BLVD STE 125",
"city": "NOBLESVILLE",
"state": "IN",
"postal_code": "460603420",
"telephone_number": "317-512-5105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14297 BERGEN BLVD STE 125",
"city": "NOBLESVILLE",
"state": "IN",
"postal_code": "460603420",
"telephone_number": "317-900-1633"
}
],
"practiceLocations": [
{
"address_1": "2451 Intelliplex Dr",
"address_purpose": "LOCATION",
"city": "Shelbyville",
"state": "IN",
"postal_code": "461768580",
"country_code": "US",
"telephone_number": "317-512-5105",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7273 Vanderbilt Beach Rd Ste 19",
"address_purpose": "LOCATION",
"city": "Naples",
"state": "FL",
"postal_code": "341191478",
"country_code": "US",
"telephone_number": "239-331-7607",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MITCHKO",
"first_name": "ELIZABETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-03",
"last_updated": "2025-02-07",
"certification_date": "2025-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71006838A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Noblesville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.