| Nicole Shontrease Mitchell, CRNA | |
|
701 N 1st St, Anesthesia Dept, Springfield, IL 62781-0001 | |
| (217) 788-3755 | |
| (217) 788-7071 |
| Full Name | Nicole Shontrease Mitchell |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 14 Years |
| Location | 701 N 1st St, Springfield, Illinois |
| 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 |
|---|---|---|---|
| 1316284011 | NPI | - | NPPES |
| 87597 | Other | ANCC CERTIFICATION |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lee Memorial Hospital | Fort myers, FL | Hospital |
| Cape Coral Hospital | Cape coral, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Us Anesthesia Partners Of Florida Inc | 0345143152 | 1111 |
| Entity Name | Sheridan Healthcorp Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629781711 PECOS PAC ID: 3173429693 Enrollment ID: O20031208000355 |
| Entity Name | US Anesthesia Partners of Florida Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518910520 PECOS PAC ID: 0345143152 Enrollment ID: O20040129000594 |
| Entity Name | Galloway Anesthesia Associates LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689989139 PECOS PAC ID: 0143402917 Enrollment ID: O20110315001054 |
| Entity Name | Anesthesia Physician Solutions of South Florida, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104248699 PECOS PAC ID: 4688805286 Enrollment ID: O20140325000665 |
| Entity Name | Anesthesia Physician Solutions of North Florida LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164932901 PECOS PAC ID: 5597066001 Enrollment ID: O20151228002033 |
| Mailing Address | Practice 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 |
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: Not Enrolled in Medicare 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 |
Stephanie Weitekamp, Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 800 E Carpenter St, Springfield, IL 62769 Phone: 217-544-6464 |
Delores A Gallo, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1025 S 6th St, Springfield, IL 62703 Phone: 217-528-7541 |