| Jessica Mitchell, RN | |
| 
					110 Radcliffe Rd, Wheeling, WV 26003-6738  | |
| (304) 206-1998 | |
| Not Available | 
| Full Name | Jessica Mitchell | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Anesthetist, Certified Registered | 
| Location | 110 Radcliffe Rd, Wheeling, West Virginia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1063299428 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163W00000X | Registered Nurse | 69226 (West Virginia) | Secondary | 
| 367500000X | Nurse Anesthetist, Certified Registered | 69226 (West Virginia) | Primary | 
| Entity Name | Northstar Anesthesia Of West Virginia Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1821448150 PECOS PAC ID: 2668750241 Enrollment ID: O20161102001322  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jessica Mitchell, RN 110 Radcliffe Rd, Wheeling, WV 26003-6738 Ph: () -  | Jessica Mitchell, RN 110 Radcliffe Rd, Wheeling, WV 26003-6738 Ph: (304) 206-1998  | 
Madeline F Shipe, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Park, Wheeling, WV 26003 Phone: 304-243-3343  | |
Louis James Vargo, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Park, Wheeling, WV 26003 Phone: 304-243-3343  | |
Richard Joseph Burtnett, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park, Wheeling, WV 26003 Phone: 304-243-3060  | |
Nicolette Harbison, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park, Wheeling, WV 26003 Phone: 304-233-2455 Fax: 304-233-6073  | |
Tara Cree Paczewski Walker, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1 Medical Park, Wheeling, WV 26003 Phone: 304-243-3000  | |
Douglas M Pell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park, Wheeling, WV 26003 Phone: 304-243-3343  | |
Floyd J Swiger, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Park, Wheeling, WV 26003 Phone: 304-243-3343  |