Joseph Mathew Mitchell, D.C., N.P.
Individual provider Active NPI Adult Health Nurse Practitioner · Whitehouse, TX
NPI 1912290362 · NPPES record last updated Jun 2, 2020
Key facts
- NPI
- 1912290362
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- AP120784 (TX)
- Practice address
- 403 State Highway 110 N
Whitehouse, TX 75791-3109 - Phone
- (903) 839-1000
- Fax
- (903) 839-4000
- NPI assigned
- May 18, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 11
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Usacs Integrated Acute Care Services of Texas, PLLC
Practice addresses (Care Compare)
111 Dallas St
San Antonio, TX 78205-1201
Phone (210) 297-7195
260 Cully Dr
Kerrville, TX 78028-5950
Phone (830) 258-7747
3333 Research PLZ
San Antonio, TX 78235-5154
Phone (210) 297-3650
520 Madison Oak Dr
San Antonio, TX 78258-3913
Phone (210) 297-0412
Hospital & facility affiliations
- Baptist Medical Center
- Baptist Neighborhood Hospital Thousand Oaks
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120412000543 | TX | Practitioner - Nurse Practitioner | 5193986461 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP120784 | TX | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Usacs Integrated Acute Care Services of Texas, PLLC | Current |
Accepting new patients | |
| Gegel Anesthesia PC | Past | Accepting new patients | |
| VHS San Antonio Partners LLC | Past | Accepting new patients | |
| Pro-Care Spine Center, LLC | Past | Accepting new patients |
Locations
3501 Mills Ave
Austin, TX 78731
Phone (512) 324-1017
1401 Medical Pkwy
Cedar Park, TX 78613
Phone (512) 528-7000
260 Cully Dr
Kerrville, TX 78028
Phone (830) 258-7323
111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000
6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | AP120784 | TX | Yes |
| Family Nurse Practitioner | 363LF0000X | 783920 | TX |
Addresses
Primary practice location
403 State Highway 110 N
Whitehouse, TX 75791-3109
Mailing address
1015 W 39TH 1/2 St
Austin, TX 78756-4005
Phone (512) 371-7478
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 870N31 | Other | TX | BCBSTX |
| 1912290362 | Other | TX | BCBSTX |
NPI Registry JSON
{
"created_epoch": "1305676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591056000000",
"number": "1912290362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 W 39TH 1/2 ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787564005",
"telephone_number": "512-371-7478",
"fax_number": "512-371-3861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 STATE HIGHWAY 110 N",
"city": "WHITEHOUSE",
"state": "TX",
"postal_code": "757913109",
"telephone_number": "903-839-1000",
"fax_number": "903-839-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "JOSEPH",
"middle_name": "MATHEW",
"credential": "D.C., N.P.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-18",
"last_updated": "2020-06-02",
"certification_date": "2020-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "TX",
"license": "AP120784",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "783920",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSTX",
"identifier": "870N31",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSTX",
"identifier": "1912290362",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Whitehouse, TX
- McDonald Chiropractic Care Inc
- Gary Wade McDonald
- James B McDonald
- Donna L Meyer
- Mindful Life Counseling Center PLLC
- ML Health Solutions, PLLC
- Brittany Nicole Mojica
- Ngan Morris
- Amy L Mullins
- Thetiwe Zulu Mwape
All providers in Whitehouse, TX · Adult Health Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.