| Jordan Marie Mitchell, NP-C | |
|
529 Broadway Ave S, Buhl, ID 83316-1312 | |
| (208) 814-8000 | |
| Not Available |
| Full Name | Jordan Marie Mitchell |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 529 Broadway Ave S, Buhl, Idaho |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609320126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 53951 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Visions Home Health & Visions Home Care Llc | Twin falls, ID | Home health agency |
| St Lukes Magic Valley Medical Center | Twin falls, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Lukes Clinic Llc | 1052217478 | 294 |
| Entity Name | St Lukes Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790718229 PECOS PAC ID: 1052217478 Enrollment ID: O20031208000899 |
| Entity Name | Molina Care Connections, Llc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407243223 PECOS PAC ID: 5799062881 Enrollment ID: O20180517000247 |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Marie Mitchell, NP-C 529 Broadway Ave S, Buhl, ID 83316-1312 Ph: (208) 814-8000 | Jordan Marie Mitchell, NP-C 529 Broadway Ave S, Buhl, ID 83316-1312 Ph: (208) 814-8000 |
Ellouise Gebauer-atkins, F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1650 E 3800 N, Buhl, ID 83316 Phone: 208-543-4233 | |
Michelle Amber Kruse, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 980 Burley Ave, Buhl, ID 83316 Phone: 208-814-9150 Fax: 208-814-9151 |