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

Nicole Shontrease Mitchell, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Springfield, Illinois. She went to Drexel University College Of Medicine and graduated in 2012 and has 14 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Us Anesthesia Partners Of Florida Inc 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 Florida (license number APRN9402261) 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 NameNicole Shontrease Mitchell
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience14 Years
Location701 N 1st St, Springfield, Illinois
Accepts Medicare AssignmentsYes. 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 Drexel University College Of Medicine in 2012
  NPI Data:
  • NPI Number: 1316284011
  • Provider Enumeration Date: 01/15/2013
  • Last Update Date: 03/04/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 8527213701
  • Enrollment ID: I20151109002218

Medical Identifiers

Medical identifiers for Nicole Shontrease Mitchell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316284011NPI-NPPES
87597OtherANCC CERTIFICATION

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered CRNA000564 (Georgia)Secondary
367500000XNurse Anesthetist, Certified Registered 209010168 (Illinois)Secondary
367500000XNurse Anesthetist, Certified Registered APRN9402261 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lee Memorial HospitalFort myers, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Us Anesthesia Partners Of Florida Inc03451431521100

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 NameUs Anesthesia Partners Of Florida Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518910520
PECOS PAC ID: 0345143152
Enrollment ID: O20040129000594
Entity NameBethesda Anesthesia Associates, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801054473
PECOS PAC ID: 3971670795
Enrollment ID: O20080920000183
Entity NameGalloway Anesthesia Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689989139
PECOS PAC ID: 0143402917
Enrollment ID: O20110315001054
Entity NamePalmetto Anesthesia Specialists Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235434275
PECOS PAC ID: 9032393848
Enrollment ID: O20110401000626
Entity NameAnesthesia Physician Solutions Of South Florida, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104248699
PECOS PAC ID: 4688805286
Enrollment ID: O20140325000665
Entity NameAnesthesia Physician Solutions Of North Florida Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164932901
PECOS PAC ID: 5597066001
Enrollment ID: O20151228002033

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 AddressPractice 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: Accepting Medicare Assignments
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: Medicare Enrolled
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: Medicare Enrolled
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

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.