Individual provider Active NPI

Susan Michelle Mitchell, APN

  • Acute Care Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1710914148
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
11308 Issued in TN
Practice address
4230 Harding Pike
Suite 435
Nashville, TN 37205-2013
Phone
(615) 385-3704
Fax
(615) 292-1321
NPI assigned
Jun 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 11308 TN Primary

Addresses

Primary practice location

4230 Harding Pike
Suite 435
Nashville, TN 37205-2013

Mailing address

103 Charleston CT
Hendersonville, TN 37075-3559
Phone (615) 389-3902

Other practice location 1

3443 Dickerson Pike Ste 370
Nashville, TN 37207-2535
Phone (615) 769-2799

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20070609000138 TN Practitioner - Nurse Practitioner 5890893143 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skyline Medical Group LLCGroup PAC ID 6709885189, 43 clinicians
Cardiovascular Anesthesiologists PCGroup PAC ID 4688571045, 142 clinicians

Practice addresses (Care Compare)

3443 Dickerson Pike
Suite 370
Nashville, TN 37207-2535
Phone (615) 769-2799

4220 Harding Pike
Nashville, TN 37205-2005
Phone (615) 385-3704

Hospital & facility affiliations

  • Ascension Saint Thomas Hospital Hospital, Nashville, TN, CCN 440082

Merit-based Incentive Payment System (MIPS)

Final score
81.74 of 100Reported as group
Quality
69.38
Promoting interoperability
100
Improvement activities
40
Cost
69.73

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trauma Medicine Services of TN, LLC CurrentSince Jan 1, 2026 Accepting new patients
Skyline Medical Group LLC CurrentSince Oct 15, 2024 Accepting new patients
Cardiovascular Anesthesiologists PC Acute Care CurrentSince Jun 23, 2006 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

3443 Dickerson Pike
Ste G30
Nashville, TN 37207
Phone (615) 234-6390

3441 Dickerson Pike
Nashville, TN 37207
Phone (615) 234-6426

4230 Harding Pike
Ste 435
Nashville, TN 37205
Phone (615) 385-3704

3443 Dickerson Pike
Ste 370
Nashville, TN 37207
Phone (615) 769-2799

4220 Harding Pike
Nashville, TN 37205
Phone (615) 222-2111

Interoperability endpoints

  • Direct secure messaging: susan.mitchell@hca1.eclinicaldirectplus.com

Organizations & group practices 3

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 1

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1710914148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 CHARLESTON CT",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753559",
            "telephone_number": "615-389-3902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 HARDING PIKE",
            "address_2": "SUITE 435",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052013",
            "telephone_number": "615-385-3704",
            "fax_number": "615-292-1321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3443 Dickerson Pike Ste 370",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372072535",
            "country_code": "US",
            "telephone_number": "615-769-2799",
            "fax_number": "615-769-2798",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "SUSAN",
        "middle_name": "MICHELLE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "11308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.