Adam Mitchell, APRN PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

3015463 Issued in KY

Practice address

3015 Wilson Ave
Louisville, KY 40211-1969

Phone

(502) 774-4401

Fax

(502) 772-4822

NPI assigned

Nov 22, 2020

Last updated

Feb 13, 2023By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY

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, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: adam.mitchell.1@27238.direct.athenahealth.com

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.

• Hometown Connect Inc

  dba Hometown Healthcare West

  • Family Medicine Physician
  • Louisville, KY
  • NPI 1275498271
  Medicare reassignment NPD
• Nourish Mental Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pewee Valley, KY
  • NPI 1295553816

  Psychiatric/Mental Health

  NPD Authorized official
• Park Duvalle Community Health Center, Inc

  dba Park DuValle at West End School

  • Federally Qualified Health Center (FQHC)
  • Louisville, KY
  • NPI 1497625263
  NPD
• Park Duvalle Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Louisville, KY
  • NPI 1245253160
  NPD
• Park Duvalle Community Health Center, Inc.

  dba Russell Neighborood Health Center

  • Federally Qualified Health Center (FQHC)
  • Louisville, KY
  • NPI 1255354361
  NPD
• Park Duvalle Community Health Center, Inc.

  dba Taylorsville Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Taylorsville, KY
  • NPI 1942214663
  NPD

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

{
    "created_epoch": "1606003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1881298727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 WILSON AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402111969",
            "telephone_number": "502-774-4401",
            "fax_number": "502-772-4822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 WILSON AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402111969",
            "telephone_number": "502-774-4401",
            "fax_number": "502-772-4822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1028 Main St",
            "address_purpose": "LOCATION",
            "city": "Shelbyville",
            "state": "KY",
            "postal_code": "400651315",
            "country_code": "US",
            "telephone_number": "502-647-2477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "ADAM",
        "name_prefix": "Mr.",
        "credential": "APRN PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-22",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3015463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "K359900",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100708040",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joanne Missi
• Akshitkumar M. Mistry, M.D.
• Bijalkumari Mistry, PT
• Viraj Nilesh Mistry
• Melissa Misuraca
• Carly Mitchell, DNP, APRN, CRNA
• Charlene Kay Mitchell, MD
• Chelsea Mitchell, PSY.D.
• Delwin Edward Mitchell, PHARM.D.
• Elaina Lee Mitchell, LCSW

• Psychiatric/Mental Health Nurse Practitioner in Louisville, KY
• Providers in Louisville, KY by specialty
• Psychiatric/Mental Health Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.