NPIMap

Individual provider Active NPI

Jesi V Mitchell, NP

  • Acute Care Nurse Practitioner
  • Pittsburg, TX
National Provider Identifier
1639784101
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1006382 Issued in TX
Practice address
408 Quitman St Ste B
Pittsburg, TX 75686-1032
Phone
(903) 708-7179
Fax
(903) 708-7183
NPI assigned
Sep 11, 2020
Last updated
Dec 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1006382 TX Primary
Adult Health Nurse Practitioner 363LA2200X 1006382 TX
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 1006382 TX

Addresses

Primary practice location

408 Quitman St Ste B
Pittsburg, TX 75686-1032

Mailing address

PO Box 911230
Dallas, TX 75391-1230
Phone (972) 997-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201120000480 TX Practitioner - Nurse Practitioner 4082025150 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Oncology PAGroup PAC ID 5395658934, 1,001 clinicians
Pallicare, IncGroup PAC ID 8123429925, 85 clinicians

Practice addresses (Care Compare)

408 Quitman St
Suite B
Pittsburg, TX 75686-1032
Phone (903) 708-7179

5803 Stoneridge Dr
Texarkana, TX 75503-1461
Phone (903) 278-5747

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.12 of 100Reported as apm
Quality
67.48
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1006382TXMDHospice and Palliative Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Oncology PA CurrentSince Nov 6, 2023 Accepting new patients
Pallicare, Inc Acute Care CurrentSince Jun 1, 2021 Accepting new patients
Texas Oncology PA CurrentSince Nov 6, 2023 Accepting new patients
Texas Oncology PA CurrentSince Nov 6, 2023 Accepting new patients
East Texas Health and Wellness PastSince Sep 25, 2019 Accepting new patients
East Texas Careteam, Inc PastSince Sep 1, 2020 Accepting new patients

Locations

7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

408 Quitman St
#B
Pittsburg, TX 75686
Phone (903) 708-7179

1228 Church St
Sulphur Springs, TX 75482
Phone (903) 438-1073

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HBHHBD
  • Direct secure messaging: jesi.mitchell.p2@direct.alegiscare.nextgenshare.com
  • Direct secure messaging: jesi.mitchell@txo.ikm.direct-ci.com

Organizations & group practices 6

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 6

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": "1599782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1639784101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753911230",
            "telephone_number": "972-997-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 QUITMAN ST STE B",
            "city": "PITTSBURG",
            "state": "TX",
            "postal_code": "756861032",
            "telephone_number": "903-708-7179",
            "fax_number": "903-708-7183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "JESI",
        "middle_name": "V",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-11",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1006382",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "1006382",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "TX",
            "license": "1006382",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburg, TX

Sources for this page

Verify at the official NPI Registry.