Individual provider Active NPI

Mary Kay Mitchell, NP

  • Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1750337622
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71001842A Issued in IN
Practice address
1033 E Washington St
Indianapolis, IN 46202-3952
Phone
(317) 423-8909
NPI assigned
May 25, 2006
Last updated
Sep 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71001842A IN Primary

Addresses

Primary practice location

1033 E Washington St
Indianapolis, IN 46202-3952

Mailing address

PO Box 637764
Cincinnati, OH 45263-7764
Phone (317) 880-3939

Other practice location 1

1112 Southeastern Ave
Indianapolis, IN 46202-3947
Phone (317) 880-1900

Other identifiers 2

IdentifierTypeStateIssuer
000000498605OtherINANTHEM
200511150MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mmitchell11357@direct.eskenazihealth.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20110817000422 IN Practitioner - Nurse Practitioner 8729257225 Reassigns benefits to 2 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
Eskenazi Medical Group IncGroup PAC ID 4284546813, 134 clinicians

Practice addresses (Care Compare)

720 Eskenazi Ave
Indianapolis, IN 46202-5187
Phone (317) 880-7666

720 Eskenazi Ave FL
5 OB/GYN Clinic
Indianapolis, IN 46202-5189
Phone (317) 880-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.69 of 100Reported as group
Quality
80.42
Promoting interoperability
100
Improvement activities
40
Cost
81.89

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Health and Hospital Corporation of Marion County Nurse Practitioner CurrentSince Aug 1, 2011 Accepting new patients
The Health and Hospital Corporation of Marion County Nurse Practitioner Current Accepting new patients
Eskenazi Medical Group Inc Nurse Practitioner CurrentSince Sep 5, 2011 Accepting new patients

Locations

1033 E Washington St
Indianapolis, IN 46202
Phone (317) 396-6763

1112 Southeastern Ave
Indianapolis, IN 46202
Phone (317) 423-8909

2732 W Michigan St
Indianapolis, IN 46222
Phone (317) 554-4600

5515 W 38th St
Indianapolis, IN 46254
Phone (317) 880-3838

720 Eskenazi Ave
Indianapolis, IN 46202
Phone (317) 880-0000

720 Eskenazi Ave
Fl 2
Indianapolis, IN 46202
Phone (317) 278-5316

720 Eskenazi Ave
Fl 5
Indianapolis, IN 46202
Phone (317) 880-6000

Interoperability endpoints

  • Direct secure messaging: mmitchell11357@direct.eskenazihealth.edu

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1750337622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 637764",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452637764",
            "telephone_number": "317-880-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 E WASHINGTON ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462023952",
            "telephone_number": "317-423-8909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1112 Southeastern Ave",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462023947",
            "country_code": "US",
            "telephone_number": "317-880-1900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "MARY",
        "middle_name": "KAY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71001842A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000498605",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200511150",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmitchell11357@direct.eskenazihealth.edu",
            "affiliation": "N",
            "address_1": "1112 Southeastern Ave",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462023947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.