Active NPI
Atlee Mitchell, NP
- Acute Care Nurse Practitioner
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 95160816
- Practice address
- 1615 Greenfield Ave Apt 15
Los Angeles, CA 90025-3572 - Phone
- (859) 468-6254
- NPI assigned
- Feb 17, 2025
- Last updated
- Feb 17, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 95160816 | CA | Primary |
| Gerontology Clinical Nurse Specialist | 364SG0600X | 95160816 | CA |
Addresses
Primary practice location
1615 Greenfield Ave Apt 15
Los Angeles, CA 90025-3572
Mailing address
1505 Wilson Ter Ste 150
Glendale, CA 91206-4076
Phone (818) 484-8059
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Mississippi School of Medicine, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1505 Wilson Ter
Suite 150
Glendale, CA 91206-4076
Phone (818) 275-4759
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Academic Surgical Associates Inc. | Multi-Specialty | Current | Accepting new patients |
| Academic Surgical Associates, PLLC | Multi-Specialty | Past | Accepting new patients |
Locations
1505 Wilson Ter
Ste 150
Glendale, CA 91206
Phone (818) 275-4759
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 2
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.
-
- Surgical Oncology Physician
- Glendale, CA
- NPI 1841856523
Multi-Specialty
-
- Surgical Oncology Physician
- Grand Rapids, MI
- NPI 1114139045
Multi-Specialty
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Adventist Health Glendale
- General Acute Care Hospital
- Glendale, CA
- NPI 1831188275
-
- General Acute Care Hospital
- Glendale, CA
- NPI 1033716147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739750400000",
"number": "1477358059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1505 WILSON TER STE 150",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912064076",
"telephone_number": "818-484-8059",
"fax_number": "818-484-8049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 GREENFIELD AVE APT 15",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900253572",
"telephone_number": "859-468-6254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "ATLEE",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-02-17",
"last_updated": "2025-02-17",
"certification_date": "2025-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "CA",
"license": "95160816",
"primary": true
},
{
"code": "364SG0600X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Gerontology",
"state": "CA",
"license": "95160816",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; 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.