| Kimberly Anne Mitchell, FNP | |
|
102 E Marion St, Paris, MO 65275-1041 | |
| (660) 327-4911 | |
| (660) 327-5501 |
| Full Name | Kimberly Anne Mitchell |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 102 E Marion St, Paris, Missouri |
| 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 |
|---|---|---|---|
| 1124790878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2021039897 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Elara Caring | Jefferson city, MO | Home health agency |
| Hannibal Regional Hospital | Hannibal, MO | Hospital |
| Moberly Regional Medical Center | Moberly, MO | Hospital |
| Boone Hospital Center | Columbia, MO | Hospital |
| University Of Missouri Health Care | Columbia, MO | Hospital |
| Monroe Manor | Paris, MO | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hannibal Regional Healthcare System Inc | 1254236300 | 263 |
| Entity Name | Blessing Corporate Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245427608 PECOS PAC ID: 5991616138 Enrollment ID: O20040310000616 |
| Entity Name | Hannibal Regional Healthcare System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134311392 PECOS PAC ID: 1254236300 Enrollment ID: O20071004000422 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Anne Mitchell, FNP 102 E Marion St, Paris, MO 65275-1041 Ph: (660) 327-4911 | Kimberly Anne Mitchell, FNP 102 E Marion St, Paris, MO 65275-1041 Ph: (660) 327-4911 |
Deborah Colleen Shouse, RN, BC, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 102 E Marion St, Paris, MO 65275 Phone: 660-327-4911 Fax: 660-327-5501 |