Active NPI
Michael Christopher Mitchell, NP
- Family Nurse Practitioner
- Nederland, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP128684
- Practice address
- 1039 N Twin City Hwy Ste B
Nederland, TX 77627-3851 - Phone
- (409) 722-0026
- Fax
- (409) 729-2783
- NPI assigned
- Jul 31, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP128684 | TX | Primary |
Addresses
Primary practice location
1039 N Twin City Hwy Ste B
Nederland, TX 77627-3851
Mailing address
1039 N Twin City Hwy Ste B
Nederland, TX 77627-3851
Phone (409) 722-0026
Other practice location 1
2600 Nederland Ave
Nederland, TX 77627-6002
Phone (409) 519-7525
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6157 NW Loop 410
124 Wellmed at Ingram Park
San Antonio, TX 78238-3302
Phone (210) 523-1411
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP128684 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellmed Medical Group, PA | Current | Accepting new patients | |
| Wellmed Medical Group, P.a. | Current | Accepting new patients | |
| Sherman MD Provider Inc | Current | Accepting new patients | |
| Sherman MD Provider Inc | Current | Accepting new patients | |
| Gulf Coast Health Center Inc | Past | Accepting new patients |
Locations
2600 Nederland Ave
Nederland, TX 77627
Phone (409) 519-7525
1039 N Twin City Hwy
Ste B
Nederland, TX 77627
Phone (409) 722-0026
2555 Jimmy Johnson Blvd
Ste 500
Port Arthur, TX 77640
Phone (409) 237-0045
8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500
6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411
Interoperability endpoints
- michael.mitchell@wellmed.eclinicaldirectplus.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 and National Provider Directory roles.
-
- Internal Medicine Physician
- San Antonio, TX
- NPI 1437156486
-
- Family Medicine Physician
- Sherman, TX
- NPI 1841696846
-
- Specialist
- Houston, TX
- NPI 1669367256
-
- Anesthesiology Physician
- Houston, TX
- NPI 1871476309
-
- Family Medicine Physician
- Corpus Christi, TX
- NPI 1740588243
-
- Federally Qualified Health Center (FQHC)
- Silsbee, TX
- NPI 1225036932
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Beaumont, TX
- NPI 1679557888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707436800000",
"number": "1942686035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1039 N TWIN CITY HWY STE B",
"city": "NEDERLAND",
"state": "TX",
"postal_code": "776273851",
"telephone_number": "409-722-0026",
"fax_number": "409-729-2783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1039 N TWIN CITY HWY STE B",
"city": "NEDERLAND",
"state": "TX",
"postal_code": "776273851",
"telephone_number": "409-722-0026",
"fax_number": "409-729-2783"
}
],
"practiceLocations": [
{
"address_1": "2600 Nederland Ave",
"address_purpose": "LOCATION",
"city": "Nederland",
"state": "TX",
"postal_code": "776276002",
"country_code": "US",
"telephone_number": "409-519-7525",
"fax_number": "409-519-7526",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MITCHELL",
"first_name": "MICHAEL",
"middle_name": "CHRISTOPHER",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-31",
"last_updated": "2024-02-09",
"certification_date": "2024-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP128684",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nederland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.