Individual provider Active NPI

Deshawn Deloris Mitchell, APRN

  • Gerontology Nurse Practitioner
  • Lakeland, FL
National Provider Identifier
1508409855
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN11004692 Issued in FL
Practice address
1600 Lakeland Hills Blvd
Lakeland, FL 33805-3065
Phone
(863) 680-7000
Fax
(866) 264-8519
NPI assigned
Oct 18, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X APRN11004692 FL Primary

Addresses

Primary practice location

1600 Lakeland Hills Blvd
Lakeland, FL 33805-3065

Mailing address

305 Kayden CV
Winter Haven, FL 33884

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200814000969 FL Practitioner - Nurse Practitioner 8628494143 Reassigns benefits to 12 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healnexxt Woundcare LLCGroup PAC ID 3779003983, 12 clinicians
David a Butler DO LLCGroup PAC ID 5092981118, 15 clinicians
Central Florida Inpatient Medicine LLCGroup PAC ID 7911805254, 113 clinicians
Quantum Practitioner Services LLCGroup PAC ID 7214392810, 31 clinicians

Practice addresses (Care Compare)

1010 Carpenters Way
Lakeland, FL 33809-3926
Phone (863) 815-0488

13755 Golf Club Pkwy
Fort Myers, FL 33919-5146
Phone (239) 482-2848

1626 Davis Rd
West Palm Beach, FL 33406-5640
Phone (561) 439-8897

211 E Main St
Lakeland, FL 33801-4628
Phone (863) 860-8093

2400 Harbor Blvd
Port Charlotte, FL 33952-5038
Phone (941) 273-3611

4033 Beaver LN
Port Charlotte, FL 33952-9206
Phone (941) 625-3200

525 Technology Park
Suite 109
Lake Mary, FL 32746-7107
Phone (407) 647-2346

6547 Kenava Loop
Palmetto, FL 34221-2595
Phone (941) 218-0175

701 Victoria St
Brandon, FL 33510-4100
Phone (813) 681-4220

800 NW 95 St
Miami, FL 33150-2032
Phone (305) 836-1550

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.18 of 100Reported as apm
Quality
70.68
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Intensive Care Experts Health Network LLC CurrentSince Jun 18, 2025 Accepting new patients
Kadia Medical, LLC CurrentSince Nov 1, 2025 Accepting new patients
Intensive Care Experts Health Network LLC CurrentSince Jun 18, 2025 Accepting new patients
House Call M.D.'S L.L.C. CurrentSince Jul 1, 2020 Accepting new patients
Renew Wound Care of Florida LLC CurrentSince May 1, 2022 Accepting new patients
David a Butler DO LLC CurrentSince Feb 10, 2026 Accepting new patients
Old Mission Wound Care Florida PLLC CurrentSince Mar 13, 2025 Accepting new patients
Elyaman Medical Services PA Gerontology CurrentSince May 1, 2023 Accepting new patients
Purposeful Healing LLC Nurse Practitioner Current Accepting new patients
Health Providers of America, LLC CurrentSince Aug 14, 2023 Accepting new patients
Quantum Practitioner Services LLC CurrentSince Oct 1, 2025 Accepting new patients

Locations

1180 N Williamson Blvd
Ste 140
Daytona Beach, FL 32114
Phone (386) 337-3190

850 W Plymouth Ave
Deland, FL 32720
Phone (386) 337-3190

813 Deltona Blvd
Ste A
Deltona, FL 32725
Phone (321) 300-4208

701 N Federal Hwy
Ste 601
Hallandale Beach, FL 33009
Phone (954) 573-2195

3648 University Blvd S
Jacksonville, FL 32216
Phone (904) 345-7185

2400 Maitland Center Pkwy
Ste 310
Maitland, FL 32751
Phone (352) 329-1800

631 US Highway 1
Ste 406
North Palm Beach, FL 33408
Phone (231) 260-4622

6041 SW 54th St
Ste 200
Ocala, FL 34474
Phone (352) 857-8417

1720 SE 16th Ave
Ste 304
Ocala, FL 34471
Phone (352) 559-0354

4033 Beaver Ln
Pt Charlotte, FL 33952
Phone (941) 212-2748

2400 Harbor Blvd
Ste 4
Pt Charlotte, FL 33952
Phone (941) 273-3611

100 S Ashley Dr
Ste 600
Tampa, FL 33602
Phone (813) 766-4218

1481 McDonald Ave
Brooklyn, NY 11230
Phone (347) 479-1110

225 Matlage Way
Unit 31
Sugar Land, TX 77487

Interoperability endpoints

  • Direct secure messaging: dmitchell37720@adventhealth.direct-ci.com

Organizations & group practices 14

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.

View all 14

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": "1571356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1508409855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 KAYDEN CV",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "33884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 LAKELAND HILLS BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338053065",
            "telephone_number": "863-680-7000",
            "fax_number": "866-264-8519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "DESHAWN",
        "middle_name": "DELORIS",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-18",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN11004692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.