Shawn Jeffery Mitchell, APRN
Individual provider Active NPI Adult Health Nurse Practitioner · Prescott, AZ
NPI 1750909008 · NPPES record last updated Feb 2, 2024
Key facts
- NPI
- 1750909008
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 244057 (AZ)
- Practice address
- 3250 Gateway Blvd Ste 112
Prescott, AZ 86303-6856 - Phone
- (928) 350-7900
- Fax
- (928) 356-3002
- NPI assigned
- Jul 13, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Naz Hospitalists Inc
Alaga Health Chronic Care Management LLC
Practice addresses (Care Compare)
1003 Willow Creek Rd
Prescott, AZ 86301-1641
Phone (928) 771-5470
3250 Gateway Blvd
Suite 110
Prescott, AZ 86303-6846
Phone (928) 350-7900
Hospital & facility affiliations
- Alaga Hospice LLC
- Yavapai Regional Medical Center
- Exceptional Community Hospital Prescott
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AZ, CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200903002640 | AZ | Practitioner - Nurse Practitioner | 7517384613 | Reassigns benefits to 4 organizations |
| I20220414000266 | CO | Practitioner - Nurse Practitioner | 7517384613 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colorado Hospitalist Services, PLLC | Nurse Practitioner | Current |
Accepting new patients |
| App of Southern Arizona HM LLC | Current |
Accepting new patients | |
| Yavapai Community Hospital Association | Current |
Accepting new patients | |
| Yavapai Community Hospital Association | Current | Accepting new patients | |
| Naz Hospitalists Inc | Current |
Accepting new patients | |
| Yrmc Hospice | Current |
Accepting new patients | |
| Colorado Hospitalist Services, PLLC | Nurse Practitioner | Current |
Accepting new patients |
| Alaga Health Chronic Care Management LLC | Nurse Practitioner | Current |
Accepting new patients |
| Yavapai Pathology Associates PLC | Current | Accepting new patients | |
| Alaga Home Health LLC | Current |
Accepting new patients | |
| Northwest HBP Medical Services LLC | Nurse Practitioner | Current |
Accepting new patients |
Locations
1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500
3250 Gateway Blvd
Ste 112
Prescott, AZ 86303
Phone (708) 248-0352
3250 Gateway Blvd
Ste 110
Prescott, AZ 86303
Phone (708) 248-0049
1003 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 445-2700
1003 Willow Creek Rd
Ste 1300
Prescott, AZ 86301
7700 E Florentine Rd
Prescott Vly, AZ 86314
Phone (928) 445-2700
6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657
501 E Hampden Ave
Englewood, CO 80113
Phone (303) 788-5300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 244057 | AZ | |
| Acute Care Nurse Practitioner | 363LA2100X | 244057 | AZ | |
| Gerontology Nurse Practitioner | 363LG0600X | 244057 | AZ | |
| Adult Health Nurse Practitioner | 363LA2200X | 244057 | AZ | Yes |
Addresses
Primary practice location
3250 Gateway Blvd Ste 112
Prescott, AZ 86303-6856
Mailing address
1003 Willow Creek Rd
Prescott, AZ 86301-1641
Phone (928) 771-5487
Other practice location 1
1003 Willow Creek Rd
Prescott, AZ 86301-1641
Phone (928) 771-5487
Other providers in Prescott, AZ
- Carrie Joy Miranda
- Janis Lee Missey
- Tetyana Missey
- Timothy D Missey
- Mitchell L Gelber Edd PC
- Ted A. Mize I
- Daniel Lee Moffat
- Florin Victor Moisiuc
- Brenda Lacey Moles
- Mary-Lou Molloy
All providers in Prescott, AZ · Adult Health Nurse Practitioner in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.