Individual provider Active NPI

Nicole Mitchell, RN

  • Family Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1740786169
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F345594-01 Issued in NY
Practice address
1085 Whitlock Rd
Rochester, NY 14609-1843
Phone
(315) 720-2670
NPI assigned
Apr 4, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 689297-1 NY
Family Nurse Practitioner 363LF0000X F345594-01 NY Primary

Addresses

Primary practice location

1085 Whitlock Rd
Rochester, NY 14609-1843

Mailing address

1085 Whitlock Rd
Rochester, NY 14609-1843

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MI, PA, IL4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20200814000221 NY Practitioner - Nurse Practitioner 5496171985 Reassigns benefits to 1 organization
I20260408000411 MI Practitioner - Nurse Practitioner 5496171985 Reassigns benefits to 1 organization
I20260430004066 PA Practitioner - Nurse Practitioner 5496171985 Reassigns benefits to 1 organization
I20260521001545 IL Practitioner - Nurse Practitioner 5496171985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellnow Urgent Care, P.C.Group PAC ID 8325320864, 395 clinicians

Practice addresses (Care Compare)

2232 Lyell Ave
Gates, NY 14606-5720
Phone (585) 417-4125

26 Bolivar Dr
Bradford, PA 16701-3125
Phone (814) 817-4690

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
689297-1NYMDRegistered Nurse
F345594-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellnow Urgent Care, PC CurrentSince Aug 1, 2020 Accepting new patients

Locations

13448 Cicero Ave
Crestwood, IL 60418
Phone (708) 682-3384

1840 N Richmond Rd
McHenry, IL 60051
Phone (779) 704-3075

446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496

7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064

2232 Lyell Ave
Rochester, NY 14606
Phone (585) 417-4125

26 Bolivar Dr
Bradford, PA 16701
Phone (814) 817-4690

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.

NPI Registry JSON

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

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1740786169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1085 WHITLOCK RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146091843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1085 WHITLOCK RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146091843",
            "telephone_number": "315-720-2670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "NICOLE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-04",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "689297-1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F345594-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.