Individual provider Active NPI

Marsha Kay Mitchell, C.N.P.

  • Family Nurse Practitioner
  • Hillsboro, OH
National Provider Identifier
1659502904
Registry record updated Nov 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.10799-NP Issued in OH
Practice address
11130 North Shore Dr.
Hillsboro, OH 45133-8977
Phone
(937) 393-6121
Fax
(937) 393-6121
NPI assigned
Aug 5, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN251463 OH
Family Nurse Practitioner 363LF0000X COA.10799-NP OH Primary

Addresses

Primary practice location

11130 North Shore Dr.
Hillsboro, OH 45133-8977

Mailing address

6437 McCoppin Mill Rd
Hillsboro, OH 45133-8791
Phone (740) 649-7498

Other identifiers 1

IdentifierTypeStateIssuer
3011912MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20091005000001 OH Practitioner - Nurse Practitioner 2961548086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Highland Health Providers CorpGroup PAC ID 0244257848, 15 clinicians

Practice addresses (Care Compare)

1092 Jefferson St
Greenfield, OH 45123-8319
Phone (937) 981-1121

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA.10799-NPOHMDFamily Nurse Practitioner
RN251463OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Highland Health Providers Corp CurrentSince Jan 1, 2019 Accepting new patients
Highland Health Providers Corp CurrentSince Jan 1, 2019 Accepting new patients
Highland District Hospital Professional Services Corporation Family Past Accepting new patients
Highland District Hospital Professional Services Corporation Past Accepting new patients

Locations

1092 Jefferson St
Greenfield, OH 45123
Phone (937) 981-1121

1487 N High St
Ste 102
Hillsboro, OH 45133
Phone (937) 393-3406

1402 N High St
Hillsboro, OH 45133
Phone (937) 393-4899

11130 N Shore Dr
Hillsboro, OH 45133
Phone (937) 393-6121

1275 N High St
Hillsboro, OH 45133
Phone (937) 393-5503

1487 N High St
Ste 100
Hillsboro, OH 45133
Phone (937) 840-9150

8900 State Route 134
Lynchburg, OH 45142
Phone (937) 364-2346

Interoperability endpoints

  • Direct secure messaging: marshamitchell@hhproviders.allscriptsdirect.net
  • Direct secure messaging: mmitchell250469@direct.trihealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1249430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541116800000",
    "number": "1659502904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6437 MCCOPPIN MILL RD",
            "city": "HILLSBORO",
            "state": "OH",
            "postal_code": "451338791",
            "telephone_number": "740-649-7498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11130 NORTH SHORE DR.",
            "city": "HILLSBORO",
            "state": "OH",
            "postal_code": "451338977",
            "telephone_number": "937-393-6121",
            "fax_number": "937-393-6121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "MARSHA",
        "middle_name": "KAY",
        "credential": "C.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-05",
        "last_updated": "2018-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "RN251463",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.10799-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3011912",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OH

Sources for this page

Verify at the official NPI Registry.