Individual provider Active NPI

Brianna Hope Mitchell, CRNP

  • Family Nurse Practitioner
  • Indiana, PA
National Provider Identifier
1942039961
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP030239 Issued in PA
Practice address
1265 Wayne Ave Ste 208
Indiana, PA 15701-3597
Phone
(724) 464-2761
NPI assigned
Jul 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP030239 PA Primary

Addresses

Primary practice location

1265 Wayne Ave Ste 208
Indiana, PA 15701-3597

Mailing address

623 E Pike Rd
Indiana, PA 15701-2236
Phone (724) 549-8436

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20241023002009 PA Practitioner - Nurse Practitioner 1052844529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1265 Wayne Ave
Suite 208
Indiana, PA 15701-3597
Phone (724) 464-2761

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP030239PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana Healthcare Physician Services Inc Family CurrentSince Aug 26, 2024 Accepting new patients
Indiana Healthcare Physician Services Inc CurrentSince Aug 26, 2024 Accepting new patients

Locations

1265 Wayne Ave
Ste 208
Indiana, PA 15701
Phone (724) 463-8850

879 Hospital Rd
Indiana, PA 15701
Phone (724) 349-3031

841 Hospital Rd
Ste 2700
Indiana, PA 15701
Phone (724) 349-6483

640 Kolter Dr
Indiana, PA 15701
Phone (724) 357-7196

Organizations & group practices 2

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 4

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": "1722211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1942039961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 E PIKE RD",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157012236",
            "telephone_number": "724-549-8436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 WAYNE AVE STE 208",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013597",
            "telephone_number": "724-464-2761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "BRIANNA",
        "middle_name": "HOPE",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP030239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indiana, PA

Sources for this page

Verify at the official NPI Registry.