Individual provider Active NPI

Michael Christopher Mitchell, NP

  • Family Nurse Practitioner
  • Nederland, TX
National Provider Identifier
1942686035
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP128684 Issued in TX
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

Updated by the provider on Feb 9, 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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170612000127 TX Practitioner - Nurse Practitioner 9638447998 Reassigns benefits to 2 organizations

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
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

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

LicenseStateTypeSpecialty
AP128684TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Group, PA CurrentSince Dec 5, 2022 Accepting new patients
Wellmed Medical Group, P.a. CurrentSince Dec 5, 2022 Accepting new patients
Sherman MD Provider Inc CurrentSince Jan 31, 2026 Accepting new patients
Sherman MD Provider Inc CurrentSince Jan 31, 2026 Accepting new patients
Gulf Coast Health Center Inc PastSince Apr 9, 2017 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.