Racheal Antonette Mitchell, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

20063 Issued in TN

Practice address

7735 Farmington Blvd
Germantown, TN 38138-2901

Phone

(901) 757-6805

NPI assigned

May 18, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, AR2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: racheal.mitchell@eastarkan.eclinicaldirectplus.com

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.

• East Arkansas Family Health Center Inc.

  • Federally Qualified Health Center (FQHC)
  • Trumann, AR
  • NPI 1578889622

  AR

  Medicare reassignment Care Compare group NPD
• East Arkansas Family Health Center Inc.

  • Federally Qualified Health Center (FQHC)
  • Blytheville, AR
  • NPI 1659506095

  AR

  Medicare reassignment Care Compare group NPD
• East Arkansas Family Health Center Inc.

  • Federally Qualified Health Center (FQHC)
  • West Memphis, AR
  • NPI 1871599613

  AR

  Medicare reassignment Care Compare group NPD
• East Arkansas Family Health Center Inc.

  • Federally Qualified Health Center (FQHC)
  • Lepanto, AR
  • NPI 1922139062

  AR

  Medicare reassignment Care Compare group NPD
• East Arkansas Family Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Earle, AR
  • NPI 1912370198

  AR

  Medicare reassignment Care Compare group NPD
• The Little Clinic of Tennessee LLC

  • Family Nurse Practitioner
  • White House, TN
  • NPI 1487848800

  Family, TN

  Medicare reassignment NPD
• East Arkansas Family Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • West Memphis, AR
  • NPI 1033997275
  Care Compare group NPD
• East Arkansas Family Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Marvell, AR
  • NPI 1508379249
  Care Compare group NPD
• East Arkansas Family Health Center Inc.

  • Federally Qualified Health Center (FQHC)
  • Forrest City, AR
  • NPI 1124987458
  Care Compare group
• East Arkansas Family Health Center Inc.

  • Federally Qualified Health Center (FQHC)
  • Helena, AR
  • NPI 1518218668
  Care Compare group
• East Arkansas Family Health Center Inc.

  • Federally Qualified Health Center (FQHC)
  • Forrest City, AR
  • NPI 1518650027
  Care Compare group
• East Arkansas Family Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • West Memphis, AR
  • NPI 1427572213
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Kah Development 4, LLC

  • Home Health Agency
  • Waldron, AR
  • NPI 1235589250
  Care Compare affiliation
• Kah Development 4, LLC

  • Home Health Agency
  • Forrest City, AR
  • NPI 1356793467
  Care Compare affiliation

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Arkansas Family Health Center, Inc 30 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Forrest City, AR, CCN 047853

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463529600000",
    "number": "1689021834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 ELM HILL PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143108",
            "telephone_number": "615-425-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7735 FARMINGTON BLVD",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381382901",
            "telephone_number": "901-757-6805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "RACHEAL",
        "middle_name": "ANTONETTE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-18",
        "last_updated": "2016-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "20063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abbas Mirza, MD
• Anne Mischke, PHARMD
• Courtney Elizabeth Mitchell, MS, OTR/L
• Helen Bedford Mitchell, FNP, BC
• Michael Mitchell
• Nancy Anne Moffatt, FNP
• Caryn Louise Mohr, CSA
• Paul Molloy, D.O.
• Matthew Paul Montgomery, MAT
• Rajendra K. Moolchandani, M.D.

• All providers in Germantown, TN
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; 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.

Verify at the official NPI Registry.