Individual provider Active NPI

Julie Andrea Mitchener, DNP CRNA

  • Certified Registered Nurse Anesthetist
  • Valparaiso, IN
National Provider Identifier
1750745501
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
28169572A Issued in IN
Practice address
85 E US Highway 6
Valparaiso, IN 46383-8947
Phone
(219) 263-4600
NPI assigned
Apr 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 28169572A IN Primary

Addresses

Primary practice location

85 E US Highway 6
Valparaiso, IN 46383-8947

Mailing address

85 E US Highway 6
Valparaiso, IN 46383-8947
Phone (219) 263-4600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160624000726 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 3274824099 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northstar Anesthesia of Indiana LLCGroup PAC ID 1153576905, 130 clinicians
Elite Anesthesia Providers LTDGroup PAC ID 6709249006, 26 clinicians

Practice addresses (Care Compare)

24 Joliet St
Dyer, IN 46311-1705
Phone (219) 865-2141

9200 Calumet Ave
Suite 200
Munster, IN 46321-2885
Phone (219) 961-9621

Hospital & facility affiliations

  • Franciscan Health Crown Point Hospital, Crown Point, IN, CCN 150126
  • Franciscan Health Dyer Hospital, Dyer, IN, CCN 150090

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28169572AINMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Porter County Anesthesia Associates PC CurrentSince May 22, 2016 Accepting new patients
Stat Anesthesia Specialists, LTD. CurrentSince Oct 2, 2023 Accepting new patients
Northstar Anesthesia of Indiana LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2022 Accepting new patients
Ams Northern Indiana LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 25, 2022 Accepting new patients
Elite Anesthesia Providers, LTD Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2023 Accepting new patients
Stat Anesthesia Specialists LTD Current Accepting new patients

Locations

19110 Darvin Dr
Mokena, IL 60448
Phone (708) 478-8889

12750 Saint Francis Dr
Crown Point, IN 46307
Phone (219) 738-2100

9301 Connecticut Dr
Crown Point, IN 46307
Phone (219) 756-2100

1201 S Main St
Crown Point, IN 46307
Phone (219) 738-2100

12800 Mississippi Pkwy
Crown Point, IN 46307
Phone (219) 662-5560

24 Joliet St
Dyer, IN 46311
Phone (219) 864-2237

2211 Main St
Ste 1A
Highland, IN 46322
Phone (219) 836-2201

900 I St
Ste 1
Laporte, IN 46350
Phone (216) 228-1600

9200 Calumet Ave
Ste 200
Munster, IN 46321
Phone (219) 961-9621

9200 Calumet Ave
Ste S100
Munster, IN 46321
Phone (219) 576-6260

701 Superior Ave
Munster, IN 46321
Phone (219) 922-4200

1915 Lake Ave
Plymouth, IN 46563
Phone (219) 936-3181

3630 Willowcreek Rd
Portage, IN 46368
Phone (219) 364-3000

10220 Wicker Ave
Ste 3
Saint John, IN 46373
Phone (219) 515-6943

85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743

1900 Roosevelt Rd
Valparaiso, IN 46383
Phone (219) 263-4900

Organizations & group practices 6

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 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": "1459987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1750745501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 E US HIGHWAY 6",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463838947",
            "telephone_number": "219-263-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 E US HIGHWAY 6",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463838947",
            "telephone_number": "219-263-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHENER",
        "first_name": "JULIE",
        "middle_name": "ANDREA",
        "credential": "DNP CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-07",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "28169572A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.