Active NPI
Rebecca Lee Mitcham, AGNP-C, RN
- Nurse Practitioner
- Killeen, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1173843
- Practice address
- 3800 S W S Young Dr Ste 201
Killeen, TX 76542-3340 - Phone
- (254) 245-9175
- NPI assigned
- Aug 19, 2024
- Last updated
- Nov 5, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1173843 | TX | Primary |
| Nurse Practitioner | 363L00000X | 219787 | OK | |
| Nurse Practitioner | 363L00000X | 244088 | MT |
Addresses
Primary practice location
3800 S W S Young Dr Ste 201
Killeen, TX 76542-3340
Mailing address
PO Box 11538
Killeen, TX 76547-1538
Phone (254) 245-9175
Other practice location 1
4258 Atkins Rd
Salado, TX 76571-6249
Phone (254) 654-5451
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3800 S W S Young Dr
Suite 201
Killeen, TX 76542-3340
Phone (254) 245-9175
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 244088 | MT | MD | Nurse Practitioner |
| 219787 | OK | MD | Nurse Practitioner |
| 1173843 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Pain Associates PLLC | Current | Accepting new patients | |
| Integrated Pain Associates PLLC | Current | Accepting new patients |
Locations
3800 S W S Young Dr
Ste 201
Killeen, TX 76542
Phone (254) 213-0489
Organizations & group practices 2
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.
-
- Pain Medicine (Anesthesiology) Physician
- Killeen, TX
- NPI 1689800419
-
- Pain Medicine (Anesthesiology) Physician
- Odessa, TX
- NPI 1427728112
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Seton Medical Center Harker Heights
- General Acute Care Hospital
- Harker Heights, TX
- NPI 1841562709
-
dba AdventHealth Central Texas
- General Acute Care Hospital
- Killeen, TX
- NPI 1629089966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762300800000",
"number": "1881426716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11538",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765471538",
"telephone_number": "254-245-9175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 S W S YOUNG DR STE 201",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765423340",
"telephone_number": "254-245-9175"
}
],
"practiceLocations": [
{
"address_1": "4258 Atkins Rd",
"address_purpose": "LOCATION",
"city": "Salado",
"state": "TX",
"postal_code": "765716249",
"country_code": "US",
"telephone_number": "254-654-5451",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MITCHAM",
"first_name": "REBECCA",
"middle_name": "LEE",
"credential": "AGNP-C, RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-19",
"last_updated": "2025-11-05",
"certification_date": "2025-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "1173843",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OK",
"license": "219787",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MT",
"license": "244088",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Killeen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; 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.