Active NPI
Deshawn Deloris Mitchell, APRN
- Gerontology Nurse Practitioner
- Lakeland, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- APRN11004692
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- Quality
- 70.68
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intensive Care Experts Health Network LLC | Current | Accepting new patients | |
| Kadia Medical, LLC | Current | Accepting new patients | |
| Intensive Care Experts Health Network LLC | Current | Accepting new patients | |
| House Call M.D.'S L.L.C. | Current | Accepting new patients | |
| Renew Wound Care of Florida LLC | Current | Accepting new patients | |
| David a Butler DO LLC | Current | Accepting new patients | |
| Old Mission Wound Care Florida PLLC | Current | Accepting new patients | |
| Elyaman Medical Services PA | Gerontology | Current | Accepting new patients |
| Purposeful Healing LLC | Nurse Practitioner | Current | Accepting new patients |
| Health Providers of America, LLC | Current | Accepting new patients | |
| Quantum Practitioner Services LLC | Current | 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
- 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.
-
- Family Medicine Physician
- Port Charlotte, FL
- NPI 1669759080
-
- Pulmonary Disease Physician
- Hallandale Beach, FL
- NPI 1164824397
-
- Family Nurse Practitioner
- Palmetto, FL
- NPI 1194426197
-
- Internal Medicine Physician
- Lake Mary, FL
- NPI 1649228859
-
- Nurse Practitioner
- Lakeland, FL
- NPI 1942013032
-
- Family Medicine Physician
- Maitland, FL
- NPI 1275955312
-
- Medical Specialty Clinic/Center
- Deltona, FL
- NPI 1457815474
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1811631591
-
- Nurse Practitioner
- Lake Wales, FL
- NPI 1073484564
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Winter Haven, FL
- NPI 1245811876
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.