Shawn Jeffery Mitchell, APRN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

244057 Issued in 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

Last updated

Feb 2, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ, CO2 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 2

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 IncGroup PAC ID 5294627816, 28 clinicians

Alaga Health Chronic Care Management LLCGroup PAC ID 7810330115, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Alaga Hospice LLC Hospice, Prescott, AZ, CCN 001550
• Yavapai Regional Medical Center Hospital, Prescott, AZ, CCN 030012
• Exceptional Community Hospital Prescott Hospital, Prescott, AZ, CCN 030196

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Alaga Health Chronic Care Management LLC

  dba Alaga Health

  • Health Service Clinic/Center
  • Prescott, AZ
  • NPI 1215631205

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Naz Hospitalists Inc

  dba NAZ Hospitalists PC

  • Hospitalist Physician
  • Prescott, AZ
  • NPI 1437137072
  Medicare reassignment Care Compare group NPD
• Northwest HBP Medical Services LLC

  • Emergency Medicine Physician
  • Tucson, AZ
  • NPI 1407353006

  Nurse Practitioner

  Medicare reassignment NPD
• Yavapai Community Hospital Association

  dba Yavapai Regional Medical Center

  • General Acute Care Hospital
  • Prescott, AZ
  • NPI 1902897820
  Medicare reassignment NPD
• Colorado Hospitalist Services, PLLC

  • Hospitalist Physician
  • Englewood, CO
  • NPI 1265806178

  Nurse Practitioner

  Medicare reassignment NPD
• Alaga Home Health LLC

  • Home Health Agency
  • Prescott, AZ
  • NPI 1558059238
  NPD
• Yavapai Community Hospital Association

  dba Yavapai Regional Medical Center

  • General Acute Care Hospital
  • Prescott Valley, AZ
  • NPI 1871534487
  NPD
• Yavapai Pathology Associates PLC

  • Anatomic Pathology Physician
  • Prescott, AZ
  • NPI 1841234184
  NPD
• Yrmc Hospice

  • Community Based Hospice Care Agency
  • Prescott Valley, AZ
  • NPI 1467409219
  NPD
• App of Southern Arizona HM LLC

  • Hospitalist Physician
  • Brentwood, TN
  • NPI 1518542679
  NPD
• Colorado Hospitalist Services, PLLC

  • Hospitalist Physician
  • Denver, CO
  • NPI 1669115747

  Nurse Practitioner

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Alaga Hospice LLC

  • Community Based Hospice Care Agency
  • Prescott, AZ
  • NPI 1801540109
  Care Compare affiliation
• Exceptional Health Care Prescott LLC

  • Special Hospital
  • Prescott, AZ
  • NPI 1396452108
  Care Compare affiliation
• Yavapai Community Hospital Association

  dba Yavapai Regional Medical Center

  • General Acute Care Hospital
  • Prescott, AZ
  • NPI 1902897820
  Care Compare affiliation

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1750909008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 WILLOW CREEK RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011641",
            "telephone_number": "928-771-5487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 GATEWAY BLVD STE 112",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863036856",
            "telephone_number": "928-350-7900",
            "fax_number": "928-356-3002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1003 Willow Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "AZ",
            "postal_code": "863011641",
            "country_code": "US",
            "telephone_number": "928-771-5487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "SHAWN",
        "middle_name": "JEFFERY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-13",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "244057",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "244057",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AZ",
            "license": "244057",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "244057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Joy Miranda, O. D.
• Janis Lee Missey, PT
• Tetyana Missey
• Timothy D Missey, D.O.
• Mitchell L Gelber Edd PC
• Ted A. Mize I, P.T.
• Daniel Lee Moffat, P.A.C.
• Florin Victor Moisiuc, M.D.
• Brenda Lacey Moles, RN
• Mary-Lou Molloy, P.T.

• Adult Health Nurse Practitioner in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Adult Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; 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.
• 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.