Active NPI
Michelle Mitchell, APRN-FNP
- Family Nurse Practitioner
- Vandalia, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.022798
- Practice address
- 6700 Commerce Center Drive
Vandalia, OH 45322 - Phone
- (937) 208-6875
- Fax
- (937) 208-6878
- NPI assigned
- Aug 1, 2018
- Last updated
- Sep 4, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.022798 | OH | Primary |
Addresses
Primary practice location
6700 Commerce Center Drive
Vandalia, OH 45322
Mailing address
3170 Kettering Blvd BLDG B3
Moraine, OH 45439-1924
Phone (937) 991-3186
Other practice location 1
1130 S Main St
Englewood, OH 45322-2819
Phone (937) 208-6879
Other practice location 2
8290 Old Troy Pike Ste 40A
Huber Heights, OH 45424-1056
Phone (937) 208-4100
Other practice location 3
1843 W Main St
Troy, OH 45373-2303
Phone (937) 208-4120
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.022798 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Health Urgent Care, Inc. | Current | Accepting new patients | |
| Premier Health Specialists Inc | Past | Accepting new patients |
Locations
1130 S Main St
Englewood, OH 45322
Phone (937) 208-6879
8290 Old Troy Pike
Ste 40A
Huber Heights, OH 45424
Phone (937) 208-4100
8 Prestige Plaza Dr
Ste 107
Miamisburg, OH 45342
Phone (937) 208-6871
3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187
1843 W Main St
Troy, OH 45373
Phone (937) 208-4120
Organizations & group practices 2
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.
-
- Urgent Care Clinic/Center
- Dayton, OH
- NPI 1134633761
-
dba Advanced Ankle and Foot Specialists
- Foot & Ankle Surgery Podiatrist
- Dayton, OH
- NPI 1902211287
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536019200000",
"number": "1740768803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3170 KETTERING BLVD BLDG B3",
"city": "MORAINE",
"state": "OH",
"postal_code": "454391924",
"telephone_number": "937-991-3186",
"fax_number": "937-223-9811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6700 COMMERCE CENTER DRIVE",
"city": "VANDALIA",
"state": "OH",
"postal_code": "45322",
"telephone_number": "937-208-6875",
"fax_number": "937-208-6878"
}
],
"practiceLocations": [
{
"address_1": "1130 S Main St",
"address_purpose": "LOCATION",
"city": "Englewood",
"state": "OH",
"postal_code": "453222819",
"country_code": "US",
"telephone_number": "937-208-6879",
"fax_number": "937-208-6886",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8290 Old Troy Pike Ste 40A",
"address_purpose": "LOCATION",
"city": "Huber Heights",
"state": "OH",
"postal_code": "454241056",
"country_code": "US",
"telephone_number": "937-208-4100",
"fax_number": "937-208-4107",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1843 W Main St",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "OH",
"postal_code": "453732303",
"country_code": "US",
"telephone_number": "937-208-4120",
"fax_number": "937-208-4126",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MITCHELL",
"first_name": "MICHELLE",
"credential": "APRN-FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-01",
"last_updated": "2018-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.022798",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vandalia, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.