Individual provider Active NPI

Cynthia L Mitchell, APRN

  • Family Nurse Practitioner
  • Ormond Beach, FL
National Provider Identifier
1942316625
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9342630 Issued in FL
Practice address
725 W Granada Blvd
Suite 22
Ormond Beach, FL 32174
Phone
(386) 788-2300
Fax
(386) 944-6622
NPI assigned
Aug 22, 2006
Last updated
Oct 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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 ARNP9342630 FL Primary

Addresses

Primary practice location

725 W Granada Blvd
Suite 22
Ormond Beach, FL 32174

Mailing address

725 W Granada Blvd
Suite 22
Ormond Beach, FL 32174
Phone (386) 788-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20120717000281 FL Practitioner - Nurse Practitioner 8729154729 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Neurology IncGroup PAC ID 4082669478, 9 clinicians

Practice addresses (Care Compare)

760 S Volusia Ave
Suite 400
Orange City, FL 32763-6541
Phone (386) 788-2300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Neurology, Inc. CurrentSince Mar 1, 2026 Accepting new patients
Dennis Clifford Ford MD Past Accepting new patients
Florida Hospital Medical Group Inc Past Accepting new patients

Locations

760 S Volusia Ave
Ste 400
Orange City, FL 32763
Phone (386) 774-0220

725 W Granada Blvd
Ste 22
Ormond Beach, FL 32174
Phone (386) 274-0097

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1942316625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 W GRANADA BLVD",
            "address_2": "SUITE 22",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "32174",
            "telephone_number": "386-788-2300",
            "fax_number": "386-944-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 W GRANADA BLVD",
            "address_2": "SUITE 22",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "32174",
            "telephone_number": "386-788-2300",
            "fax_number": "386-944-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "CYNTHIA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9342630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

Verify at the official NPI Registry.