William K Mitchell V, DNP, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

28195790A Issued in IN

Practice address

85 E US-6 Frontage Rd
Valparaiso, IN 46385

Phone

(219) 983-8300

NPI assigned

Dec 26, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Rush Medical College of Rush University, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Henry County Memorial HospitalGroup PAC ID 6002724085, 153 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Henry County Memorial Hospital Hospital, New Castle, IN, CCN 150030

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

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 and National Provider Directory roles.

• Henry County Memorial Hospital

  • Family Medicine Physician
  • New Castle, IN
  • NPI 1891570537

  IN

  Medicare reassignment NPD
• Porter County Anesthesia Associates PC

  • Anesthesiology Physician
  • Valparaiso, IN
  • NPI 1215974936

  IN

  Medicare reassignment NPD
• Henry County Memorial Hospital

  • Internal Medicine Physician
  • New Castle, IN
  • NPI 1760800155
  NPD
• Henry County Memorial Hospital

  • Skilled Nursing Facility
  • Indianapolis, IN
  • NPI 1952452815
  NPD

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

• Henry County Memorial Hospital

  • General Acute Care Hospital
  • New Castle, IN
  • NPI 1356428429

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1577318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577318400000",
    "number": "1831738657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 KILLARNEY LN",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463855498",
            "telephone_number": "219-688-9535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 E US-6 FRONTAGE RD",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "46385",
            "telephone_number": "219-983-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "WILLIAM",
        "middle_name": "K",
        "name_suffix": "V",
        "credential": "DNP, CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-26",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "28195790A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindful Speech Therapy LLC
• Jacqueline E Minkalis, NCC, LMHCA
• Mary Claire Miral
• Michael F Mirochna, M.D.
• Jena Shea Mitchell
• Julie Andrea Mitchener, DNP CRNA
• Bruce Moberley, D.O.
• Mobile Mental Wellness, LLC
• Mobile Physicians Group LLC
• Mobile Wellness Incorporated

• All providers in Valparaiso, IN
• Certified Registered Nurse Anesthetist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.