Individual provider Active NPI

Alexander Mitchell, CRNP

  • Acute Care Nurse Practitioner
  • Washington, DC
National Provider Identifier
1730659707
Registry record updated Dec 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
SP019703 Issued in PA
Practice address
900 23Rd St NW
Washington, DC 20037-2342
Phone
(202) 715-4000
Fax
(202) 715-4015
NPI assigned
Dec 3, 2018
Last updated
Dec 30, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X SP019703 PA
Acute Care Nurse Practitioner 363LA2100X SP019703 PA Primary

Addresses

Primary practice location

900 23Rd St NW
Washington, DC 20037-2342

Mailing address

251 W Dekalb Pike
Eph07
King of Prussia, PA 19406
Phone (215) 360-2874

Other practice location 1

8835 Germantown Ave
Philadelphia, PA 19118-2718
Phone (215) 248-8200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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

Enrollment IDStateProvider typePAC IDDetails
I20230125002779 DC Practitioner - Nurse Practitioner 2769812536 Reassigns benefits to 2 organizations
I20250304000815 MD Practitioner - Nurse Practitioner 2769812536 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Faculty Associates, IncGroup PAC ID 4082528898, 676 clinicians

Practice addresses (Care Compare)

900 23Rd St NW
Washington, DC 20037-2342
Phone (202) 715-4000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP019703PAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince Feb 1, 2026 Accepting new patients
Metro Infectious Disease Consultants, LLC CurrentSince Jul 1, 2024 Accepting new patients
Northwest Hospital Center, Inc. Acute Care CurrentSince Jan 27, 2025 Accepting new patients
Medstar Medical Group II LLC CurrentSince Feb 1, 2026 Accepting new patients
Medical Faculty Associates, Inc CurrentSince Oct 15, 2022 Accepting new patients
Northwest Hospital Center, Inc CurrentSince Jan 27, 2025 Accepting new patients
University of Maryland Physicians PA CurrentSince Aug 4, 2025 Accepting new patients
University of Maryland Physicians P.a. CurrentSince Aug 4, 2025 Accepting new patients
University of Maryland Physicians P.a. Current Accepting new patients
Metro Infectious Disease Consultants LLC CurrentSince Jul 1, 2024 Accepting new patients
Metro Infectious Disease Consultants, LLC Past Accepting new patients

Locations

1200 Pecan St SE
Washington, DC 20032
Phone (610) 382-4422

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714

6201 Greenbelt Rd
Ste L5
Berwyn Heights, MD 20740
Phone (301) 332-7779

5890 Waterloo Rd
Columbia, MD 21045
Phone (410) 328-2603

19745 Executive Park Cir
Unit 20G
Germantown, MD 20874

808 Landmark Dr
Ste 122
Glen Burnie, MD 21061
Phone (410) 760-3588

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

6510 Kenilworth Ave
Ste 1400
Riverdale, MD 20737
Phone (301) 779-0095

9000 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 682-7000

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1543795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672358400000",
    "number": "1730659707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 W DEKALB PIKE",
            "address_2": "EPH07",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "19406",
            "telephone_number": "215-360-2874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 23RD ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200372342",
            "telephone_number": "202-715-4000",
            "fax_number": "202-715-4015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8835 Germantown Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191182718",
            "country_code": "US",
            "telephone_number": "215-248-8200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "ALEXANDER",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-03",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP019703",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": "SP019703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.