Individual provider Active NPI

Rachel Layne Mitchell, PA-C

  • Physician Assistant
  • Lubbock, TX
National Provider Identifier
1952184301
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA19708 Issued in TX
Practice address
2310 Indiana Ave
Lubbock, TX 79410-2142
Phone
(806) 797-1202
NPI assigned
Aug 17, 2023
Last updated
Dec 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA19708 TX Primary

Addresses

Primary practice location

2310 Indiana Ave
Lubbock, TX 79410-2142

Mailing address

2310 Indiana Ave
Lubbock, TX 79410-2142
Phone (806) 797-1202

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
I20260114003075 TX Practitioner - Physician Assistant 2264918713 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Texas Tech University Health Science Center School of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Associates of West Texas, LLPGroup PAC ID 7911048632, 8 clinicians

Practice addresses (Care Compare)

1700 Cogdell Blvd
Snyder, TX 79549-6162
Phone (806) 797-1202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA19708TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Associates of West Texas, LLP CurrentSince Jan 6, 2026 Accepting new patients
Paulger Dermatology and Skin Cancer Center, PA PastSince Jan 6, 2026 Accepting new patients

Locations

419 N Avenue F
Denver City, TX 79323
Phone (806) 592-4705

2202 Ithaca Ave
Lubbock, TX 79410
Phone (806) 787-1387

2310 Indiana Ave
Lubbock, TX 79410
Phone (806) 795-9777

1700 Cogdell Blvd
Snyder, TX 79549
Phone (325) 573-6374

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.

NPI Registry JSON

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1952184301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 INDIANA AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794102142",
            "telephone_number": "806-797-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 INDIANA AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794102142",
            "telephone_number": "806-797-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "RACHEL",
        "middle_name": "LAYNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-17",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA19708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.