Jamie Blythe Mitnick, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

9104310 Issued in FL

Practice address

5350 W Atlantic Ave
Delray Beach, FL 33484-8112

Phone

(561) 496-5677

Fax

(561) 496-5824

NPI assigned

Aug 28, 2007

Last updated

Apr 6, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Physician Assistant

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cambridge Medical Group of West Boynton LLCGroup PAC ID 7012059066, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Cambridge Medical Group of West Boynton LLC

  dba Cambridge Medical Group

  • Internal Medicine Physician
  • Boynton Beach, FL
  • NPI 1669607636
  Medicare reassignment Care Compare group
• Primus Medical Group LLC

  • Family Medicine Physician
  • Boynton Beach, FL
  • NPI 1245107580
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586131200000",
    "number": "1437343084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10817 S JOG RD",
            "address_2": "STE 230",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334370912",
            "telephone_number": "561-634-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 W ATLANTIC AVE",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334848112",
            "telephone_number": "561-496-5677",
            "fax_number": "561-496-5824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITNICK",
        "first_name": "JAMIE",
        "middle_name": "BLYTHE",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-28",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "9104310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Minimally Invasive Surgicenter LLC
• Minimally Invasive Surgicenter of Delray LLC
• Ryan Mirrione, LMHC
• Colleen G Mishler, DMD
• Shannon M Mitchell, APRN
• Mni Medical Services, PLLC
• Mobilize Physical Therapy
• Valerie Nicole Mock, PA-C
• Lawrence M Model, M.D.
• Modern Chiropractic Center of Delray PA (Dr. Peter Vapnek Chiropractic and Massage Therapy Center)

• Medical Physician Assistant in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; 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.

Verify at the official NPI Registry.