Jordan Marie Mitchell, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Buhl, Idaho. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice St Lukes Clinic Llc and her current practice location is
529 Broadway Ave S, Buhl, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 814-8000.
Jordan Marie Mitchell is licensed to practice in Idaho (license number 53951) 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 1609320126.
Provider's Profile
Full Name | Jordan Marie Mitchell |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 10 Years |
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Location | 529 Broadway Ave S, Buhl, Idaho |
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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:
- Jordan Marie Mitchell graduated from nursing school in 2014
NPI Data:
- NPI Number: 1609320126
- Provider Enumeration Date: 08/12/2016
- Last Update Date: 01/04/2019
Medicare PECOS Information:
- PECOS PAC ID: 9335437987
- Enrollment ID: I20161013001745
Medical Identifiers
Medical identifiers for Jordan Marie Mitchell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1609320126 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 53951 (Idaho) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
St Lukes Clinic Llc | 1052217478 | 297 |
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. Jordan Marie Mitchell allows following entities to bill medicare on her behalf.
Entity Name | St Lukes Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1790718229 PECOS PAC ID: 1052217478 Enrollment ID: O20031208000899 |
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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. Jordan Marie 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 |
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 |
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