Active NPI
Jerald Mitchell
- Case Management Agency
- Biwabik, MN
National Provider Identifier
1396395349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- License
- FBL-21788-51176
- Practice address
- 120 3Rd Ave N
Biwabik, MN 55708-3032 - Phone
- (218) 865-4663
- Fax
- (218) 865-0100
- NPI assigned
- Sep 11, 2019
- Last updated
- Oct 26, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | FBL-21788-51176 | MN | Primary |
Addresses
Primary practice location
120 3Rd Ave N
Biwabik, MN 55708-3032
Mailing address
PO Box 11236
Saint Paul, MN 55111-0236
Phone (651) 795-9596
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| FBL-21788-51176 | MN | MD | Case Management Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Housing Solutions, Inc. | Case Management | Current | Accepting new patients |
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.
-
- Case Management Agency
- Virginia, MN
- NPI 1508731498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761436800000",
"number": "1396395349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11236",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551110236",
"telephone_number": "651-795-9596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 3RD AVE N",
"city": "BIWABIK",
"state": "MN",
"postal_code": "557083032",
"telephone_number": "218-865-4663",
"fax_number": "218-865-0100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "JERALD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-09-11",
"last_updated": "2025-10-26",
"certification_date": "2025-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "MN",
"license": "FBL-21788-51176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Biwabik, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.