Mitchell Lynn Cardwell, DO
Individual provider Active NPI Family Medicine Physician · Hibbing, MN
NPI 1790735546 · NPPES record last updated Dec 4, 2020
Key facts
- NPI
- 1790735546
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 43114 (MN)
- Practice address
- 1120 E 34TH St
Hibbing, MN 55746-2909 - Phone
- (218) 362-7100
- NPI assigned
- May 11, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 41
Owned or controlled facilities with NPI records 31
Medicare Care Compare profile
- Specialty
- Family Practice
- 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 Duluth
Practice addresses (Care Compare)
1015 E 1St St
Duluth, MN 55805-2242
Phone (218) 249-7860
Hospital & facility affiliations
- Aveanna Home Health
- Range Regional Health Services
- Range Regional Health Services
- St Lukes Hospital
- Range Regional Health Services
- Aspirus Wausau Hospital
- Cook Hospital
- Heritage Manor
- Guardian Angels Health & Rehab Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 11 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 7
| Facility | Type | Role | Since |
|---|---|---|---|
| Aspirus St Lukes Hospital Inpatient Rehab |
Hospital | Corporate Director | Oct 1, 2020 |
| Aspirus St Lukes Hospital |
Hospital | Corporate Officer | Oct 1, 2020 |
| Aspirus St Lukes at Home Home Care Duluth |
Home health agency | Corporate Director | Oct 1, 2020 |
| Aspirus St Lukes at Home Hospice Duluth |
Hospice | Corporate Director | Oct 1, 2020 |
| St. Luke'S Hospital of Duluth |
Rural health clinic | Corporate Director | Oct 1, 2020 |
| Aspirus Lake View Silver Bay Clinic |
Rural health clinic | Corporate Director | Oct 1, 2020 |
| Aspirus Lake View Two Harbors Clinic |
Rural health clinic | Corporate Director | Oct 1, 2020 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040316001309 | MN | Practitioner - Family Practice |
2062302854 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Luke'S Hospital of Duluth | Current | Accepting new patients | |
| St. Luke'S Hospital of Duluth | Current |
Accepting new patients | |
| Range Regional Health Services | Current |
Accepting new patients | |
| Range Regional Health Services | Current |
Accepting new patients | |
| St. Luke'S Hospital of Duluth | Current |
Accepting new patients | |
| Chisholm Health Center | Past | Accepting new patients | |
| St. Luke'S Hospital of Duluth | Family Medicine | Past | Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
915 E 1st St
Duluth, MN 55805
Phone (218) 249-5352
1015 E 1st St
Duluth, MN 55805
Phone (218) 249-7860
1814 14th Ave E
Hibbing, MN 55746
Phone (218) 262-3441
750 E 34th St
Hibbing, MN 55746
Phone (218) 262-3441
1120 E 34th St
Hibbing, MN 55746
Phone (218) 362-7100
402 E Platt Ave
Nashwauk, MN 55769
Phone (218) 885-2858
901 9th St N
Virginia, MN 55792
Phone (218) 741-3340
Interoperability endpoints
- mcardwell237378@direct.aspirus.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 43114 | MN | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 784463800 | Medicaid | MN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | him@slk.direct.slhduluth.com |
Other providers in Hibbing, MN
- Kasey Brown
- Elizabeth Marie Brownlee
- Megan Suzanne Brunner
- Lisa Constance Buenger
- Sean Bussey
- Care at Home Inc.
- Quinn H Carmichael
- Julia Carr
- Erin Marie Cary
- Molly Casey
All providers in Hibbing, MN · Family Medicine Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2020. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- 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.