Jessica Mitchell, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

29724 Issued in TN

Practice address

9051 Executive Park Dr Ste 500
Knoxville, TN 37923-4632

Phone

(865) 337-7793

NPI assigned

Jul 13, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Nurse Practitioner

Education

Lincoln Memorial University Medical Department, 2021

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Iris Medical GroupGroup PAC ID 0648653360, 82 clinicians

Maltman Medical Center LLCGroup PAC ID 6204124548, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14521/brand/1/csg/1/fhir/r4
• Direct secure messaging: jessica.mitchell.1@14521.direct.athenahealth.com

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.

• Iris Medical Group

  • Primary Care Clinic/Center
  • Brentwood, TN
  • NPI 1851025902

  Family

  Medicare reassignment Care Compare group NPD
• Maltman Medical Center LLC

  • Nurse Practitioner
  • Knoxville, TN
  • NPI 1225586878
  Medicare reassignment Care Compare group NPD
• Iris Wound Care, PC

  • Clinic/Center
  • Brentwood, TN
  • NPI 1568273605
  NPD (past)

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1962020115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9051 EXECUTIVE PARK DR STE 500",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234632",
            "telephone_number": "865-337-7793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9051 EXECUTIVE PARK DR STE 500",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234632",
            "telephone_number": "865-337-7793"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4107 Valley View Dr",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379171210",
            "country_code": "US",
            "telephone_number": "865-712-9020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "JESSICA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-13",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "29724",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "0000230297",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Mitchell, LMSW
• Eleana Nicole Mitchell
• Elizabeth Mitchell
• Frenchie Lenise Mitchell, BA
• Georgia Mitchell, MA
• Karen Sue Mitchell, APRN
• Kimberly Dyane Mitchell, MA.,CCC-SLP
• Lauren Graham Mitchell, FNP-BC
• Lee Nicole Mitchell
• Megan Mitchell

• Family Nurse Practitioner in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; 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.

Verify at the official NPI Registry.