Individual provider Active NPI

Atlee Mitchell, NP

  • Acute Care Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1477358059
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
95160816 Issued in CA
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250917000362 CA Practitioner - Nurse Practitioner 0345744074 Reassigns benefits to 1 organization

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
Academic Surgical Associates Inc.Group PAC ID 6800122672, 3 clinicians

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

OrganizationSpecialtyStatusNew patients
Academic Surgical Associates Inc. Multi-Specialty CurrentSince Aug 1, 2025 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.