Tracie Michelle Mitchell, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-072535 Issued in AL

Practice address

1004 South St E
Talladega, AL 35160-2621

Phone

(256) 493-6402

NPI assigned

Dec 19, 2018

Last updated

Mar 4, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• T. Mitchell Professional name

Medicare fee-for-service enrollment

Enrolled in AL

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 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians

Practice addresses (Care Compare)

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.

• Fast Pace Medical Clinic PLLC

  • Family Medicine Physician
  • Florence, AL
  • NPI 1639679962
  Medicare reassignment Care Compare group NPD
• Upperline Healthcare, PC

  • Foot & Ankle Surgery Podiatrist
  • Hoover, AL
  • NPI 1538686498
  Medicare reassignment NPD
• Fast Pace Medical Clinic PLLC

  • Rural Health Clinic/Center
  • Chapel Hill, TN
  • NPI 1316602774
  NPD
• Upperline Healthcare, PC

  • Foot & Ankle Surgery Podiatrist
  • Ocoee, FL
  • NPI 1326906843
  NPD
• Angela M. Martin

  • Rural Health Clinic/Center
  • Talladega, AL
  • NPI 1932443868
  NPD (past)
• Angela M. Martin, M.D. F.a.a.P.

  • Pediatrics Physician
  • Anniston, AL
  • NPI 1013193374
  NPD (past)

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

{
    "created_epoch": "1545177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1801368618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 SOUTH ST E",
            "address_2": "STE A",
            "city": "TALLADEGA",
            "state": "AL",
            "postal_code": "351602621",
            "telephone_number": "256-362-2013",
            "fax_number": "256-362-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 SOUTH ST E",
            "city": "TALLADEGA",
            "state": "AL",
            "postal_code": "351602621",
            "telephone_number": "256-493-6402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "304 E 4th St",
            "address_purpose": "LOCATION",
            "city": "Anniston",
            "state": "AL",
            "postal_code": "362076012",
            "country_code": "US",
            "telephone_number": "256-237-1184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "TRACIE",
        "middle_name": "MICHELLE",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-19",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "AL",
            "license": "1-072535",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-072535",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "AL",
            "license": "1-072535",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "T.",
            "last_name": "MITCHELL",
            "credential": "T. MITCHELL,MSN CRNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Rachael Blaz Meier, CRNP, FNP-C
• Mending Hearts Counseling Services of Central Alabama, LLC
• Merit Health Care, PC
• Robin L Merkel, C.R.N.P.
• Michael R. Price Jr. DMD LLC (Talladega Dental Associates)
• Modern Hearing Aid Center Inc. (East Alabama Hearing Clinic)
• Kiersten Taylor Moon, OD
• Monroe Moore Jr., RPH
• Northeast Alabama Kidney Clinic, Inc. (RCG Talladega)
• Northland Hearing Centers, Inc. (Pattillo Balance & Hearing Center)

• Family Nurse Practitioner in Talladega, AL
• Providers in Talladega, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; 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.