Individual provider Active NPI

Kristen Mitchell

  • Obstetrics & Gynecology Physician
  • Abilene, TX
National Provider Identifier
1912394917
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
BP10052488 Issued in TX
Practice address
6743 Memorial Dr
Abilene, TX 79606
Phone
(325) 794-5348
Fax
(325) 794-5345
NPI assigned
Apr 17, 2015
Last updated
Sep 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X BP10052488 TX Primary

Addresses

Primary practice location

6743 Memorial Dr
Abilene, TX 79606

Mailing address

2305 Shadow Canyon CT
Pearland, TX 77584-3637

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190618003010 TX Practitioner - Obstetrics/Gynecology 4284968694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Baylor College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1665 Antilley Rd
Abilene, TX 79606-5249

1665 Antilley Rd
Abilene, TX 79606-5264

6250 Hwy 83 84
Hendrick Medical Center South
Abilene, TX 79606-5215
Phone (325) 428-1000

6743 Memorial Dr
Abilene, TX 79606-2558
Phone (325) 794-5348

6771 Memorial Dr
Abilene, TX 79606-2558
Phone (325) 794-5348

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of the uterus13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10052488TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group West Texas, PLLC CurrentSince Jun 15, 2019 Accepting new patients
Privia Medical Group West Texas, PLLC CurrentSince Jun 15, 2019 Accepting new patients
Elm Place Ambulatory Surgical Center Current Accepting new patients
Baylor College of Medicine Obstetrics & Gynecology Past Accepting new patients
Hendrick Medical Center Past Accepting new patients
Privia Medical Group West Texas, PLLC Past Accepting new patients

Locations

1665 Antilley Rd
Ste 170
Abilene, TX 79606
Phone (325) 437-8655

1665 Antilley Rd
Ste 260
Abilene, TX 79606
Phone (325) 437-8674

2217 S Danville Dr
Abilene, TX 79605
Phone (325) 695-0600

Interoperability endpoints

  • Direct secure messaging: kristen.mitchell.1@23308.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1429228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1912394917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 SHADOW CANYON CT",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775843637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6743 MEMORIAL DR",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "79606",
            "telephone_number": "325-794-5348",
            "fax_number": "325-794-5345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "KRISTEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-17",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "BP10052488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.