Active NPI
Katrine Ann Mitchell, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 317
- Practice address
- 10511 Golf Course Road NW, Suite 103
Albuquerque, NM 87048 - Phone
- (505) 232-1140
- Fax
- (505) 232-1132
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 317 | NM | Primary |
Addresses
Primary practice location
10511 Golf Course Road NW, Suite 103
Albuquerque, NM 87048
Mailing address
10511 Golf Course Road NW, Suite 103
Albuquerque, NM 87048
Phone (505) 232-1140
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- California School of Podiatric Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
150 N Roadrunner Pkwy
Las Cruces, NM 88011-7044
Phone (575) 556-6440
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 37 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 14 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Las Cruces Physician Practices, LLC | Current | Accepting new patients | |
| Las Cruces Physician Practices, LLC | Current | Accepting new patients | |
| Las Cruces Physician Practices, LLC | Current | Accepting new patients | |
| Optumcare Endoscopy Center New Mexico, LLC | Past | Accepting new patients |
Locations
4351 E Lohman Ave
Ste 403
Las Cruces, NM 88011
Phone (575) 522-6806
150 N Roadrunner Pkwy
Las Cruces, NM 88011
Phone (505) 521-5900
4351 E Lohman Ave
Ste 200
Las Cruces, NM 88011
Phone (505) 532-9755
Interoperability endpoints
- katrine.mitchell.1@19849.direct.athenahealth.com
Organizations & group practices 4
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.
-
dba NM Cardiovascualr Associates
- Vascular Surgery Physician
- Las Cruces, NM
- NPI 1093947491
-
dba New Mexico Cardiac Care
- Cardiovascular Disease Physician
- Las Cruces, NM
- NPI 1346586195
-
- Family Medicine Physician
- Las Cruces, NM
- NPI 1356390769
-
dba DaVita Medical Endoscopy
- Ambulatory Surgical Clinic/Center
- Albuquerque, NM
- NPI 1962685834
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ambercare Home Health
- Home Health Agency
- Las Cruces, NM
- NPI 1609039833
-
dba Memorial Medical Center of Las Cruces
- General Acute Care Hospital
- Las Cruces, NM
- NPI 1700821808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249689600000",
"number": "1396857355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10511 GOLF COURSE ROAD NW, SUITE 103",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87048",
"telephone_number": "505-232-1140",
"fax_number": "505-232-1132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10511 GOLF COURSE ROAD NW, SUITE 103",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87048",
"telephone_number": "505-232-1140",
"fax_number": "505-232-1132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "KATRINE",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2009-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NM",
"license": "317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2009; 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.