NPIMap

Individual provider Active NPI

Mitchell Lynn Cardwell, DO

  • Family Medicine Physician
  • Hibbing, MN
National Provider Identifier
1790735546
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
43114 Issued in MN
Practice address
1120 E 34TH St
Hibbing, MN 55746-2909
Phone
(218) 362-7100
NPI assigned
May 11, 2006
Last updated
Dec 4, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 43114 MN Primary

Addresses

Primary practice location

1120 E 34TH St
Hibbing, MN 55746-2909

Mailing address

1120 E 34TH St
Hibbing, MN 55746-2909
Phone (218) 362-7100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address him@slk.direct.slhduluth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040316001309 MN Practitioner - Family PracticePractitioner - Emergency Medicine 2062302854 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Luke's Hospital of DuluthGroup PAC ID 7113834839, 409 clinicians

Practice addresses (Care Compare)

1015 E 1St St
Duluth, MN 55805-2242
Phone (218) 249-7860

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions11
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Hospital of Duluth CurrentSince Nov 1, 2000 Accepting new patients
St. Luke's Hospital of Duluth CurrentSince Nov 1, 2000 Accepting new patients
Range Regional Health Services CurrentSince Jun 18, 2012 Accepting new patients
Range Regional Health Services CurrentSince Jun 18, 2012 Accepting new patients
St. Luke's Hospital of Duluth Current Accepting new patients
St. Luke's Hospital of Duluth Family Medicine Past Accepting new patients
Chisholm Health Center Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

1015 E 1st St
Duluth, MN 55805
Phone (218) 249-7860

915 E 1st St
Duluth, MN 55805
Phone (218) 249-5352

1120 E 34th St
Hibbing, MN 55746
Phone (218) 362-7100

1814 14th Ave E
Hibbing, MN 55746
Phone (218) 262-3441

750 E 34th St
Hibbing, MN 55746
Phone (218) 262-3441

402 E Platt Ave
Nashwauk, MN 55769
Phone (218) 885-2858

901 9th St N
Virginia, MN 55792
Phone (218) 741-3340

Interoperability endpoints

  • Direct secure messaging: mcardwell237378@direct.aspirus.org

Ownership & related parties

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Aspirus St Lukes Hospital Inpatient RehabDuluth, MN, CCN 24T047 Hospital Corporate Director Oct 1, 2020
Aspirus St Lukes HospitalDuluth, MN, CCN 240047 Hospital Corporate Officer Oct 1, 2020
Aspirus St Lukes at Home Home Care DuluthDuluth, MN, CCN 247098 Home health agency Corporate Director Oct 1, 2020
Aspirus St Lukes at Home Hospice DuluthDuluth, MN, CCN 241524 Hospice Corporate Director Oct 1, 2020
St. Luke's Hospital of DuluthHibbing, MN, CCN 248505 Rural health clinic Corporate Director Oct 1, 2020
Aspirus Lake View Silver Bay ClinicSilver Bay, MN, CCN 248507 Rural health clinic Corporate Director Oct 1, 2020
Aspirus Lake View Two Harbors ClinicTwo Harbors, MN, CCN 248506 Rural health clinic Corporate Director Oct 1, 2020

Owned or controlled facilities with NPI records 31

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 31

Organizations & group practices 7

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 41

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

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1790735546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 E 34TH ST",
            "city": "HIBBING",
            "state": "MN",
            "postal_code": "557462909",
            "telephone_number": "218-362-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 E 34TH ST",
            "city": "HIBBING",
            "state": "MN",
            "postal_code": "557462909",
            "telephone_number": "218-362-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDWELL",
        "first_name": "MITCHELL",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "43114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "him@slk.direct.slhduluth.com",
            "affiliation": "N",
            "address_1": "1120 E 34th St",
            "city": "Hibbing",
            "state": "MN",
            "country_code": "US",
            "postal_code": "557462909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hibbing, MN

Sources for this page

Verify at the official NPI Registry.