Active NPI
Tracy Lynn Mitchel, NP
- Nurse Practitioner
- Elkhart, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 28129890A
- Practice address
- 600 East Blvd
Elkhart, IN 46514-2483 - Phone
- (574) 294-2621
- NPI assigned
- Jun 6, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 28129890A | IN | Primary |
Addresses
Primary practice location
600 East Blvd
Elkhart, IN 46514-2483
Mailing address
PO Box 419569
Boston, MA 02241-9569
Phone (574) 523-3160
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cep America LLC
Practice addresses (Care Compare)
600 E Blvd
Elkhart, IN 46514-2483
Phone (574) 294-2621
701 S Health Pkwy
Three Rivers, MI 49093-8352
Phone (269) 278-1145
Hospital & facility affiliations
- Elkhart General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28129890A | IN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Emergency Physicians Inc | Current | Accepting new patients | |
| Cep America LLC | Current | Accepting new patients | |
| Pic Indiana PC | Current | Accepting new patients | |
| Cep America LLC | Current | Accepting new patients | |
| Cep America LLC | Current | Accepting new patients | |
| South Bend Emergency Physicians, Inc | Current | Accepting new patients | |
| Cep America LLC | Current | Accepting new patients | |
| Cep America LLC | Current | Accepting new patients | |
| Apogee Medical Group Indiana PC | Current | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
600 East Blvd
Elkhart, IN 46514
Phone (574) 294-2621
924 W Pike St
Goshen, IN 46526
Phone (574) 312-7056
505 W Cleveland Rd
Mishawaka, IN 46545
Phone (574) 235-3135
615 N Michigan St
South Bend, IN 46601
Phone (574) 647-1000
1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523
520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280
4599 Towne Centre Rd
Saginaw, MI 48604
Phone (989) 497-3000
701 S Health Parkway
Three Rivers, MI 49093
Phone (269) 273-9691
Organizations & group practices 9
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.
-
- Internal Medicine Physician
- Goshen, IN
- NPI 1093973885
-
- Emergency Medicine Physician
- Terre Haute, IN
- NPI 1285103671
-
- Emergency Medicine Physician
- Elkhart, IN
- NPI 1932155371
-
- Urgent Care Clinic/Center
- Mishawaka, IN
- NPI 1942546890
-
- Emergency Medicine Physician
- South Bend, IN
- NPI 1487132114
-
- Emergency Medicine Physician
- Saginaw, MI
- NPI 1912687328
-
- Emergency Medicine Physician
- Elkhart, IN
- NPI 1104620640
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
-
- Emergency Medicine Physician
- Three Rivers, MI
- NPI 1881498202
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Elkhart, IN
- NPI 1477551489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496707200000",
"number": "1922537745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 419569",
"city": "BOSTON",
"state": "MA",
"postal_code": "022419569",
"telephone_number": "574-523-3160",
"fax_number": "574-523-3221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 EAST BLVD",
"city": "ELKHART",
"state": "IN",
"postal_code": "465142483",
"telephone_number": "574-294-2621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHEL",
"first_name": "TRACY",
"middle_name": "LYNN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-06",
"last_updated": "2017-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "28129890A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elkhart, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2017; 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.