Active NPI
Renee L Mitchell, NP
- Gerontology Nurse Practitioner
- Chesapeake, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 0024173811
- Practice address
- 612 Kingsborough SQ
Ste 100
Chesapeake, VA 23320-5041 - Phone
- (757) 547-9342
- Fax
- (757) 213-9342
- NPI assigned
- Aug 3, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 0024173811 | VA | |
| Gerontology Nurse Practitioner | 363LG0600X | 0024173811 | VA | Primary |
Addresses
Primary practice location
612 Kingsborough SQ
Ste 100
Chesapeake, VA 23320-5041
Mailing address
PO Box 639295 Dept 93394
Cincinnati, OH 45263-9295
Phone (248) 266-4200
Other practice location 1
236 Clearfield Ave Ste 215
Virginia Beach, VA 23462-1893
Phone (757) 853-1380
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Williamsburg, VA 23185
Phone (757) 941-5600
Virginia Beach, VA 23462
Phone (757) 853-1380
Norfolk, VA 23502
Phone (757) 354-2885
6160 Kempsville Cir
Suite 325a
Norfolk, VA 23502-3933
Phone (757) 354-2885
Hospital & facility affiliations
- Amedisys Home Health Care
- Equilibrio Home Health of Virginia Inc
- Westminster-Canterbury at Home, LLC
- Sentara Home Care Services-Virginia Beach
- Centerwell Home Health (VA Beach)
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vpa PC | Current | Accepting new patients | |
| Alliance Medical Team LLC | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients | |
| Bayview Physician Services, PC | Current | Accepting new patients | |
| Joseph Forestiere MD LTD | Current | Accepting new patients | |
| Bayview Physician Services, PC | Current | Accepting new patients | |
| Mid-Atlantic Post Acute & Long Term Care PLLC | Gerontology | Current | Accepting new patients |
Locations
2729 King St
Alexandria, VA 22302
Phone (703) 744-0155
111 Mill Creek Pkwy
Chesapeake, VA 23323
Phone (757) 558-8210
612 Kingsborough Sq
Ste 100
Chesapeake, VA 23320
Phone (757) 547-9294
2715 Dogtown Rd
Goochland, VA 23063
Phone (609) 335-6595
6160 Kempsville Cir
Ste 325A
Norfolk, VA 23502
Phone (757) 354-2885
236 Clearfield Ave
Ste 215
Virginia Beach, VA 23462
Phone (757) 561-2800
263 McLaws Cir
Ste 105
Williamsburg, VA 23185
Phone (757) 645-0831
2300 Opitz Blvd
Woodbridge, VA 22191
Phone (703) 523-1000
14906 Richmond Hwy
Woodbridge, VA 22191
Phone (609) 335-6595
Interoperability endpoints
- renee.mitchell@237407481626628.direct.elationemr.com
Organizations & group practices 8
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Norfolk, VA
- NPI 1225557556
Gerontology
-
- Family Medicine Physician
- Virginia Beach, VA
- NPI 1942531769
-
- Geriatric Medicine (Internal Medicine) Physician
- Norfolk, VA
- NPI 1225720501
-
- Internal Medicine Physician
- Woodbridge, VA
- NPI 1417792599
-
- Family Medicine Physician
- Chesapeake, VA
- NPI 1508813387
-
- Radiology Clinic/Center
- Suffolk, VA
- NPI 1699865626
-
- Primary Care Clinic/Center
- Virginia Beach, VA
- NPI 1750510376
-
- Family Medicine Physician
- Brentwood, TN
- NPI 1578363362
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Norfolk, VA
- NPI 1063467801
-
- Home Health Agency
- Virginia Beach, VA
- NPI 1881625051
-
- Home Health Agency
- Virginia Beach, VA
- NPI 1669852208
-
- Home Health Agency
- Chesapeake, VA
- NPI 1710425152
-
- Nursing Facility/Intermediate Care Facility
- Virginia Beach, VA
- NPI 1073541645
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728864000000",
"number": "1861945164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 639295 DEPT 93394",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452639295",
"telephone_number": "248-266-4200",
"fax_number": "855-618-6655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "612 KINGSBOROUGH SQ",
"address_2": "STE 100",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233205041",
"telephone_number": "757-547-9342",
"fax_number": "757-213-9342"
}
],
"practiceLocations": [
{
"address_1": "236 Clearfield Ave Ste 215",
"address_purpose": "LOCATION",
"city": "Virginia Beach",
"state": "VA",
"postal_code": "234621893",
"country_code": "US",
"telephone_number": "757-853-1380",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MITCHELL",
"first_name": "RENEE",
"middle_name": "L",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-03",
"last_updated": "2024-10-14",
"certification_date": "2024-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "VA",
"license": "0024173811",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "VA",
"license": "0024173811",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.