Jacob Mitchell, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

9 Water St
Wellsboro, PA 16901-1117

Phone

(570) 724-2325

NPI assigned

Feb 3, 2022

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 PA

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

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Upmc WellsboroGroup PAC ID 5294710414, 22 clinicians

Susquehanna Physician ServicesGroup PAC ID 2264336460, 611 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Upmc Wellsboro Hospital, Wellsboro, PA, CCN 391316

Merit-based Incentive Payment System (MIPS)

Final score

79.37 of 100Reported as group

Quality

86.43

Promoting interoperability

100

Improvement activities

40

Cost

44.81

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jmitchell176864@upmc.direct-ci.com
• Direct secure messaging: jacob.p.mitchell@upmcdirect.com

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.

• Upmc Wellsboro

  • Critical Access Hospital
  • Wellsboro, PA
  • NPI 1427501766
  Medicare reassignment Care Compare group NPD
• Susquehanna Physician Services

  • Cardiovascular Disease Physician
  • Williamsport, PA
  • NPI 1861431116
  Medicare reassignment Care Compare group
• Upmc Wellsboro

  • Internal Medicine Physician
  • Wellsboro, PA
  • NPI 1275090433
  Medicare reassignment
• Susquehanna Physician Services

  • Radiology Clinic/Center
  • Mansfield, PA
  • NPI 1073361564
  NPD
• Susquehanna Physician Services

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Williamsport, PA
  • NPI 1831395912

  Physician Assistant

  NPD

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

• Upmc Wellsboro

  • Internal Medicine Physician
  • Wellsboro, PA
  • NPI 1275090433

  Hospital

  Care Compare affiliation
• Upmc Wellsboro

  • Critical Access Hospital
  • Wellsboro, PA
  • NPI 1427501766
  Care Compare affiliation

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

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1871246348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 MAIN ST",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169011416",
            "telephone_number": "570-439-5945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 WATER ST",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169011117",
            "telephone_number": "570-724-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "JACOB",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-03",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lee C. Meyers, M.D.
• Sandra Ann Mihalick, RPH
• Mary F Milano, RPH
• Amy Miller
• Hamza Mir, MD
• Monarch Therapy Services LLC
• Jessica Marie Monger, MS/RD
• Casey Mosher, OTR/L
• Allison Mae Moss, PA-C
• Mountain Therapy & Education Services, LLC

• Physician Assistant in Wellsboro, PA
• Providers in Wellsboro, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; 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.