Active NPI
Patricia J Mitchell, APRN, FNP-C
- Family Nurse Practitioner
- Port Saint Joe, FL
National Provider Identifier
1477815488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 9411986
- Practice address
- 256 Canal Street
Port Saint Joe, FL 32456 - Phone
- (850) 273-8450
- Fax
- (423) 803-4776
- NPI assigned
- Jun 14, 2012
- Last updated
- May 6, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 16928 | TN | |
| Family Nurse Practitioner | 363LF0000X | 208361 | GA | |
| Family Nurse Practitioner | 363LF0000X | 9411986 | FL | Primary |
Addresses
Primary practice location
256 Canal Street
Port Saint Joe, FL 32456
Mailing address
PO Box 13926
Mexico Beach, FL 32410-3926
Phone (850) 273-8450
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Jul 1, 2021 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9411986 | FL | MD | Family Nurse Practitioner |
| 208361 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Options Health Family Practice | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588723200000",
"number": "1477815488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13926",
"city": "MEXICO BEACH",
"state": "FL",
"postal_code": "324103926",
"telephone_number": "850-273-8450",
"fax_number": "423-803-4776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "256 CANAL STREET",
"city": "PORT SAINT JOE",
"state": "FL",
"postal_code": "32456",
"telephone_number": "850-273-8450",
"fax_number": "423-803-4776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "PATRICIA",
"middle_name": "J",
"credential": "APRN, FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-14",
"last_updated": "2020-05-06",
"certification_date": "2020-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "16928",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "208361",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "9411986",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Saint Joe, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.