Taylor Bryce Mitchell, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

275835 Issued in AZ

Practice address

5870 E Chaucers Dr
Tucson, AZ 85756-8651

Phone

(520) 820-8971

NPI assigned

Jun 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 AZ, WA, TX, FL, OR5 enrollments

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 5

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Athena Medical GroupGroup PAC ID 8921358706, 43 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Athena Medical Group

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1164918124

  FL, OR, TX, WA

  Medicare reassignment Care Compare group
• Verdure Health Services

  • Family Medicine Physician
  • Irving, TX
  • NPI 1801495940
  NPD (past)

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

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1881333110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5870 E CHAUCERS DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857568651",
            "telephone_number": "520-820-8971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5870 E CHAUCERS DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857568651",
            "telephone_number": "520-820-8971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "TAYLOR",
        "middle_name": "BRYCE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-03",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "275835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helen Mitchell, MD
• Jennifer Lynn Mitchell, PMHNP-BC
• Jordan Anthony Mitchell, DO
• Laverne Mitchell, PMHNP-BC, FNP-C
• Lori Anne Mitchell, PT
• Taylor S Mitchell, SLPA
• William L Mitchell, RRT
• Yekaterina Mitchell
• Meredith Mitstifer, PSY.D
• Abhinav Mittal, M.D.

• Family Nurse Practitioner in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.