Active NPI
Kristen Mitchell
- Obstetrics & Gynecology Physician
- Abilene, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- BP10052488
- 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, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of the uterus | 13 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10052488 | TX | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group West Texas, PLLC | Current | Accepting new patients | |
| Privia Medical Group West Texas, PLLC | Current | 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
- 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.
-
dba Abilene Diagnostic Clinic, PLLC
- Specialist
- Abilene, TX
- NPI 1346242567
-
- Ambulatory Surgical Clinic/Center
- Abilene, TX
- NPI 1376650911
-
dba Abilene Diagnostic Clinics
- Podiatrist
- Abilene, TX
- NPI 1043725062
-
- Obstetrics & Gynecology Physician
- Houston, TX
- NPI 1245626696
-
- General Acute Care Hospital
- Abilene, TX
- NPI 1528064649
-
- Pathology Specialist/Technologist
- Abilene, TX
- NPI 1760482665
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Abilene, TX
- NPI 1528064649
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.