Individual provider Active NPI

Andrew Mitchelson, M.D.

  • Orthopaedic Surgery Physician
  • Saint Louis, MO
National Provider Identifier
1912389974
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
2025038859 Issued in MO
Practice address
2325 Dougherty Ferry Rd Ste 100a
Saint Louis, MO 63122-3356
Phone
(314) 909-1359
Fax
(314) 909-1370
NPI assigned
Jun 25, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 2025038859 MO Primary
Orthopaedic Surgery Physician 207X00000X 4301503918 MI
Orthopaedic Surgery Physician 207X00000X 125.067589 IL
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

2325 Dougherty Ferry Rd Ste 100a
Saint Louis, MO 63122-3356

Mailing address

1414 W Fair Ave Ste 190
Marquette, MI 49855-5406
Phone (906) 225-1321

Other practice location 1

1414 W Fair Ave Ste 190
Marquette, MI 49855-5406
Phone (906) 225-1321

Other practice location 2

701 N 1st St
Springfield, IL 62702-3757
Phone (217) 545-8000

Other practice location 3

300 State St Ste 205
Erie, PA 16507-1429
Phone (814) 877-6253

Other identifiers 1

IdentifierTypeStateIssuer
200164342MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210713001169 MI Practitioner - Orthopedic SurgeryPractitioner - Hand Surgery 7719281450 Reassigns benefits to 1 organization
I20251006002819 MO Practitioner - Orthopedic Surgery 7719281450 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Hand Surgery
Education
Southern Illinois University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Medical GroupGroup PAC ID 3274563762, 15 clinicians

Practice addresses (Care Compare)

1414 W Fair Ave
Marquette, MI 49855-5406
Phone (906) 225-1321

226 S Woods Mill Rd
49W St Luke'S Surgical Consultants
Chesterfield, MO 63017-3663
Phone (314) 434-1211

232 S Woods Mill Rd
Chesterfield, MO 63017-3406
Phone (314) 576-2306

2325 Dougherty Ferry Rd
Suite 100
Saint Louis, MO 63122-3356
Phone (314) 909-1359

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125.067589ILMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Lukes Medical Group Orthopaedic Surgery CurrentSince Oct 1, 2025 Accepting new patients
Orthopaedic Surgery Associates of Marquette PC CurrentSince Sep 1, 2021 Accepting new patients
Orthopaedic Surgery Associates of Marquette PC Orthopaedic Surgery CurrentSince Sep 1, 2021 Accepting new patients

Locations

1414 W Fair Ave
Ste 190
Marquette, MI 49855
Phone (906) 225-1321

2325 Dougherty Ferry Rd
Ste 100
Saint Louis, MO 63122
Phone (314) 577-8527

2325 Dougherty Ferry Rd
Ste 100A
Saint Louis, MO 63122

232 S Woods Mill Rd
Town and Country, MO 63017
Phone (314) 205-6030

Interoperability endpoints

  • Direct secure messaging: amitchelson@acops1752.srs-direct.com

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1912389974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 W FAIR AVE STE 190",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498555406",
            "telephone_number": "906-225-1321",
            "fax_number": "906-228-9371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 DOUGHERTY FERRY RD STE 100A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631223356",
            "telephone_number": "314-909-1359",
            "fax_number": "314-909-1370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1414 W Fair Ave Ste 190",
            "address_purpose": "LOCATION",
            "city": "Marquette",
            "state": "MI",
            "postal_code": "498555406",
            "country_code": "US",
            "telephone_number": "906-225-1321",
            "fax_number": "906-228-9371",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 N 1st St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627023757",
            "country_code": "US",
            "telephone_number": "217-545-8000",
            "fax_number": "217-545-1159",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 State St Ste 205",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165071429",
            "country_code": "US",
            "telephone_number": "814-877-6253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELSON",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-25",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MO",
            "license": "2025038859",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "4301503918",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "125.067589",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200164342",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.