Individual provider Active NPI

John Leonard Mitchell Jr., CRNA

  • Certified Registered Nurse Anesthetist
  • Newington, NH
National Provider Identifier
1609052257
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
079473-23 Issued in NH
Practice address
291 Shattuck Way
Newington, NH 03801
Phone
(603) 316-6387
NPI assigned
Jan 14, 2008
Last updated
Jun 29, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN525832L PA
Certified Registered Nurse Anesthetist 367500000X 079473-23 NH Primary

Addresses

Primary practice location

291 Shattuck Way
Newington, NH 03801

Mailing address

24 Daniels Dr
Lee, NH 03861-6759
Phone (808) 292-2040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190305003026 NH Practitioner - Certified Registered Nurse Anesthetist (Crna) 1850431255 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
University of Texas Medical School at San Antonio, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Portsmouth Anesthesia Associates PAGroup PAC ID 6002855327, 40 clinicians
Stratham Anesthesia Associates PLLCGroup PAC ID 7416007950, 26 clinicians
Apollo Medical Group of Wentworth PLLCGroup PAC ID 8426389677, 4 clinicians

Practice addresses (Care Compare)

333 Borthwick Ave
Portsmouth, NH 03801-7128
Phone (603) 436-5110

4 W Rd
Suite B1
Stratham, NH 03885-2612
Phone (603) 772-2076

6 Works Way
Somersworth, NH 03878-1638
Phone (603) 285-9273

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
079473-23NHMDCertified Registered Nurse Anesthetist
RN525832LPAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Apollo Medical Group of Portsmouth PLLC Single Specialty CurrentSince Dec 1, 2021 Accepting new patients
North American Partners in Anesthesia New Hampshire LLP Single Specialty CurrentSince Jan 5, 2019 Accepting new patients
Stratham Anesthesia Associates PLLC Single Specialty CurrentSince Feb 27, 2024 Accepting new patients
Portsmouth Anesthesia Associates PA Single Specialty CurrentSince Jun 14, 2022 Accepting new patients
Apollo Medical Group of Wentworth PLLC Single Specialty CurrentSince Nov 1, 2021 Accepting new patients
Apollo Medical Group of Seabrook PLLC Single Specialty CurrentSince Apr 17, 2024 Accepting new patients
Chevy Chase Anesthesia LLC Single Specialty Past Accepting new patients

Locations

291 Shattuck Way
Portsmouth, NH 03801
Phone (561) 330-3381

333 Bothwick Ave
Portsmouth, NH 03801
Phone (603) 433-4907

11 Whitehall Rd
Rochester, NH 03867
Phone (603) 330-7905

325 Lafayette Rd
Seabrook, NH 03874
Phone (603) 218-1793

6 Works Way
Somersworth, NH 03878
Phone (603) 285-9273

4 West Rd
Ste B1
Stratham, NH 03885
Phone (603) 772-2076

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

Organizations & group practices 7

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": "1200268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1609052257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 DANIELS DR",
            "city": "LEE",
            "state": "NH",
            "postal_code": "038616759",
            "telephone_number": "808-292-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 SHATTUCK WAY",
            "city": "NEWINGTON",
            "state": "NH",
            "postal_code": "03801",
            "telephone_number": "603-316-6387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "JOHN",
        "middle_name": "LEONARD",
        "name_suffix": "Jr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-14",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN525832L",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NH",
            "license": "079473-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newington, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.