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KARISSA MITCHELL FNP
NPI 1053095240
Nurse Practitioner - Family in Phoenix, AZ

Active since June 09, 2023PECOS Enrolled
1012 E WILLETTA ST, PHOENIX, AZ 85006(602) 839-6040 Get Directions Write a Review

NPPES record last updated: June 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Karissa Mitchell Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KARISSA MITCHELL FNP (NPI 1053095240) is an individual family provider in Phoenix, Arizona, licensed in Arizona (292963) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1053095240
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKARISSA MITCHELLCredential: FNP
Location Address1012 E WILLETTA STPhoenix, AZ 85006-2749
Mailing Address1012 E Willetta StPhoenix, AZ 85006-2749
Phone(602) 839-6040
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJune 9, 2023
NPPES CertifiedJune 9, 2023
✔ NPI 1053095240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AZ · 292963
1012 E WILLETTA ST, Phoenix, AZ 85006
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Karissa Mitchell Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587016217
PECOS Enrollment IDI20240118002430
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
125 services40 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
88 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85006 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TROY SCOTT WILDE D.P.M.
Podiatrist (Foot & Ankle Surgery)
1012 E WILLETTA ST
PHOENIX, AZ 85006
Maricopa County (602) 839-6484
JOSHUA LESLIE
Physical Therapy Assistant
1012 E WILLETTA ST
PHOENIX, AZ 85006
Maricopa County (602) 839-2317
SAMANTHA BRADLEY
Clinic/Center (Physical Therapy)
1012 E WILLETTA ST
PHOENIX, AZ 85006
Maricopa County (602) 839-6533
RENEE SCHULZ PT
Physical Therapist
1012 E WILLETTA ST
PHOENIX, AZ 85006
Maricopa County (602) 839-2317
JILL CABLE MS, CCC-SLP
Speech-Language Pathologist
1012 E WILLETTA ST
PHOENIX, AZ 85006
Maricopa County (602) 839-2141
DR. DANA ALESSE JAMISON M.D.
Orthopaedic Surgery
1012 E WILLETTA ST
PHOENIX, AZ 85006
Maricopa County (602) 239-6040
YOUNG W. KAHN, M.D., L.L.C.
Physical Medicine & Rehabilitation
1012 E WILLETTA ST
PHOENIX, AZ 85006
Maricopa County (602) 239-4056
LISA ROYE CCC-SLP
Speech-Language Pathologist
1012 E WILLETTA ST
PHOENIX, AZ 85006
Maricopa County (602) 839-5602

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Karissa Mitchell's NPI number?

The NPI number for Karissa Mitchell is 1053095240. It was assigned to this individual provider in the NPPES registry on June 9, 2023.

Where is Karissa Mitchell located?

Karissa Mitchell practices at 1012 E Willetta St, Phoenix, AZ 85006. The listed phone number is (602) 839-6040.

What is Karissa Mitchell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Karissa Mitchell enrolled in Medicare?

Yes. Karissa Mitchell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Karissa Mitchell was last updated on June 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.