Nikki Jo Mitchell, FNP-C, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

71002315 Issued in IN

Practice address

4488 Roslin Rd
Newburgh, IN 47630-8590

Phone

(812) 996-5616

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Total Care Family Practice Rick Bobay LLC

  • Internal Medicine Physician
  • Jeffersonville, IN
  • NPI 1356674162

  IN, Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Brentwood Meadows Physician Group LLC

  • Psychiatry Physician
  • Newburgh, IN
  • NPI 1528479029

  IN, Psychiatric/Mental Health

  Medicare reassignment NPD
• Newburgh Urgent Care LLC

  • Nurse Practitioner
  • Newburgh, IN
  • NPI 1093132821

  IN, Nurse Practitioner

  Medicare reassignment NPD
• State of Indiana, Auditor of State

  • Psychiatric Hospital
  • Madison, IN
  • NPI 1700876224

  IN

  Medicare reassignment NPD
• Total Care Family Practice Rick Bobay LLC

  • Family Nurse Practitioner
  • Louisville, KY
  • NPI 1831088731

  Nurse Practitioner

  Care Compare group NPD (past)
• State of Indiana Auditor of State

  • Psychiatric Hospital
  • Evansville, IN
  • NPI 1235250788
  NPD
• State of Indiana, Auditor of State

  • Public Health or Welfare Agency
  • Indianapolis, IN
  • NPI 1023613403
  NPD
• Gateway Urgent Care, LLC

  • Nurse Practitioner
  • Owensboro, KY
  • NPI 1124325865
  NPD (past)
• Owensboro Health Medical Group Inc

  • Internal Medicine Physician
  • Owensboro, KY
  • NPI 1306700711

  Family

  NPD (past)
• Owensboro Health Medical Group, Inc

  • Family Medicine Physician
  • Owensboro, KY
  • NPI 1376594242

  Nurse Practitioner

  NPD (past)

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

• Deaconess Hospital Inc

  • General Acute Care Hospital
  • Newburgh, IN
  • NPI 1780535427

  Hospital

  Care Compare affiliation
• Deaconess Hospital, Inc.

  • General Acute Care Hospital
  • Evansville, IN
  • NPI 1053361642

  Hospital

  Care Compare affiliation

Specialty

Nurse Practitioner

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Total Care Family Practice Rick Bobay LLC 79 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 10, 2023.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1831277573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6544 RIVER RIDGE DR",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476309778",
            "telephone_number": "812-660-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4488 ROSLIN RD",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476308590",
            "telephone_number": "812-996-5616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "NIKKI",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "FNP-C, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2023-05-10",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71002315A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71002315A",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71002315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS #",
            "identifier": "000000654612",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100104280",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200845810",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Milomed LLC
• Mind Over Matters, LLC
• Alayna Miskell
• Megan E Missaggia, M.D.
• Mary Mitcham
• Scott E Mitchell, PA-C
• Grace Moberly
• Justine Moesner, FNP
• Clifton Mominee
• Julie Katherine Monahan, PT

• All providers in Newburgh, IN
• Psychiatric/Mental Health Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; 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.