Mary Ellen Mitchell, MSN,FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R863519 Issued in MS

Practice address

589 Garfield St
Suite 201
Tupelo, MS 38801-6301

Phone

(662) 680-5565

Fax

(662) 840-8636

NPI assigned

Dec 1, 2005

Last updated

Nov 15, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Mary Ellen Rowsey Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

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.

• Gastroenterology Center of the Midsouth PLLC

  dba Associates In Gastroenterology

  • Gastroenterology Physician
  • Germantown, TN
  • NPI 1417932492
  NPD
• DHS Anesthesia, LLC

  • Anesthesiology Physician
  • Tupelo, MS
  • NPI 1184147431
  NPD (past)
• Magnolia Endoscopy Center, LLC

  • Endoscopy Clinic/Center
  • Corinth, MS
  • NPI 1740264274
  NPD (past)

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479168000000",
    "number": "1780668954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21",
            "address_2": "DIGESTIVE HEALTH SPECIALISTS, PA",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388020021",
            "telephone_number": "662-680-5565",
            "fax_number": "662-840-8636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "589 GARFIELD ST",
            "address_2": "SUITE 201",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016301",
            "telephone_number": "662-680-5565",
            "fax_number": "662-840-8636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "MARY",
        "middle_name": "ELLEN",
        "credential": "MSN,FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-01",
        "last_updated": "2016-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R863519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE NUMBER",
            "identifier": "R863519",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0126313",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANCC CERTIFICATION FNP",
            "identifier": "0355656-22",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "ROWSEY",
            "middle_name": "ELLEN",
            "credential": "MSN, FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mississippi Sport and Spine Rehabilitation
• Mississippi State Department of Health
• Alison Renee Mitchell
• Janice Mitchell, DO
• Kristin Mitchell, M.D.
• Jennifer Stewart Mize, AU.D., CCC-A
• Lori Mize, FNP
• MMSS Ancillary Services Inc (Senior Rx)
• Pranav Modi, MBBS
• Hollie Dulaney Moffatt, PMHNP-BC

• Family Nurse Practitioner in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.