Brandon Mitchell

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP129196 Issued in TX

Practice address

1101 W Eagle Dr Ste B
Decatur, TX 76234-3721

Phone

(940) 627-1770

Fax

(940) 624-2233

NPI assigned

Oct 12, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elite Orthopaedics of Irving PLLCGroup PAC ID 3779667092, 57 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medical City Denton Hospital, Denton, TX, CCN 450634

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brandon.mitchell@hca7.eclinicaldirectplus.com

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.

• Elite Orthopaedics of Irving PLLC

  • Orthopaedic Surgery Physician
  • Irving, TX
  • NPI 1982892105
  Medicare reassignment Care Compare group NPD

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

• Columbia Medical Center of Denton Subsidiary LP

  • General Acute Care Hospital
  • Denton, TX
  • NPI 1306897277
  Care Compare affiliation

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

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1932570397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 W EAGLE DR STE B",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343721",
            "telephone_number": "940-627-1770",
            "fax_number": "940-627-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 W EAGLE DR STE B",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343721",
            "telephone_number": "940-627-1770",
            "fax_number": "940-624-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "BRANDON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-12",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP129196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "PENDING",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Ransom-Robinson
• Daniel Raymond Miller
• Mind Above Matter, LLC
• Lisa Ann Minsloff, M.D.
• Julie Catherine Mistic, AU.D.
• Christopher Barret Moeder, MD
• Faridy Maya Mombeleur
• Jonathan Tad Montgomery, PT
• Andrea M Morris
• Daniel K Morris, DO

• Family Nurse Practitioner in Decatur, TX
• Providers in Decatur, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; 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.

Verify at the official NPI Registry.