Nicole Shontrease Mitchell, CRNA in Springfield, IL - Medicare Certified Registered Nurse Anesthetist (crna)

Nicole Shontrease Mitchell, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Springfield, Illinois. She went to Drake University College Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice North Atlanta Anesthesia Professionals, Llc and her current practice location is 701 N 1st St, Anesthesia Dept, Springfield, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 788-3755.

Nicole Shontrease Mitchell is licensed to practice in Georgia (license number CRNA000564) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1316284011.

Contact Information

	Nicole Shontrease Mitchell, CRNA
	701 N 1st St, Anesthesia Dept, Springfield, IL 62781-0001
	(217) 788-3755
	(217) 788-7071

Map and Direction

Provider's Profile

Full Name	Nicole Shontrease Mitchell
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	12 Years
Location	701 N 1st St, Springfield, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Nicole Shontrease Mitchell attended and graduated from Drake University College Of Medicine in 2012

NPI Data:

NPI Number: 1316284011
Provider Enumeration Date: 01/15/2013
Last Update Date: 05/29/2023

Medicare PECOS Information:

PECOS PAC ID: 8527213701
Enrollment ID: I20220204001114

Medical Identifiers

Medical identifiers for Nicole Shontrease Mitchell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316284011	NPI	-	NPPES
87597	Other		ANCC CERTIFICATION

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	ARNP9402261 (Florida)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	209010168 (Illinois)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	CRNA000564 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
North Atlanta Anesthesia Professionals, Llc	5496134348	432

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicole Shontrease Mitchell allows following entities to bill medicare on her behalf.

Entity Name	Georgia Group Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093947236 PECOS PAC ID: 0840338018 Enrollment ID: O20091109000203

Entity Name	Wellstar Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374

Entity Name	North Atlanta Anesthesia Professionals, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982349296 PECOS PAC ID: 5496134348 Enrollment ID: O20220623000371

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Shontrease Mitchell is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Nicole Shontrease Mitchell, CRNA 1117 N Olive Ave, Ste 203, West Palm Beach, FL 33401-3520 Ph: (217) 788-3755	Nicole Shontrease Mitchell, CRNA 701 N 1st St, Anesthesia Dept, Springfield, IL 62781-0001 Ph: (217) 788-3755

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Springfield, IL

Douglas Mcdonald Childs, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 800 E Carpenter St, Springfield, IL 62704 Phone: 217-525-5643 Fax: 217-544-2521
Carol A Gorden, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 N 1st St, Springfield, IL 62781 Phone: 217-788-3754 Fax: 217-788-7071
Ann R Larson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 N 1st St, Anesthesia Department, Springfield, IL 62781 Phone: 217-788-3754 Fax: 217-788-7071
Jenna Younker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 E Carpenter St, Springfield, IL 62702 Phone: 217-525-5643 Fax: 217-544-2521
Kelsey A Wallace, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 N 1st St, Springfield, IL 62781 Phone: 217-788-3000
Delores A Gallo, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1025 S 6th St, Springfield, IL 62703 Phone: 217-528-7541
Larry D. Sartore, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 800 East Carpenter Street, Room 2k64, Springfield, IL 62769 Phone: 217-525-5643 Fax: 217-544-3311

Nicole Shontrease Mitchell, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Springfield, IL