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KRISTINA OREY MITCHELL M.D.
NPI 1104121409
Pediatrics in Tyler, TX

Active since January 18, 2011PECOS Enrolled
1000 E 5TH ST STE 100, TYLER, TX 75701(903) 596-3862(903) 590-5005 Get Directions Write a Review

NPPES record last updated: August 7, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kristina Orey Mitchell M.d. NPPES

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

KRISTINA OREY MITCHELL M.D. (NPI 1104121409) is an individual pediatrics provider in Tyler, Texas, licensed in Texas (N7843) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104121409
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameKRISTINA OREY MITCHELLCredential: M.D.
Location Address1000 E 5TH ST STE 100Tyler, TX 75701-3307
Mailing Address1000 E 5th St Ste 100Tyler, TX 75701-3307 · (903) 596-3862 · Fax (903) 590-5005
Phone(903) 596-3862
Fax(903) 590-5005
Sole ProprietorYes
Enumeration DateJanuary 18, 2011
Last NPPES UpdateAugust 7, 2012
✔ NPI 1104121409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · N7843
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1000 E 5TH ST STE 100, Tyler, TX 75701
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristina Orey Mitchell M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Kristina Mitchell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Etmc Physician Group Inc.
0.4 mi
Cardiovascular Disease
1000 S BECKHAM AVE
Tyler, TX 75701
  • Reassigned Medicare billing, Texas enrollment
  • 636 clinicians in this Medicare group
NPI 1609382662 (903) 590-5611

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75701 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 4

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

JAMES RILEY DAVIS DO
Pediatrics
1000 E 5TH ST STE 100
TYLER, TX 75701
Smith County (903) 590-5000
STACY ECHETEBU MD
Pediatrics
1000 E 5TH ST STE 100
TYLER, TX 75701
Smith County (903) 590-5000
DR. TIFFANY HILL MD
Pediatrics
1000 E 5TH ST STE 100
TYLER, TX 75701
Smith County (903) 590-5000
LAUREN STANLEY FNP-BC
Nurse Practitioner (Family)
1000 E 5TH ST STE 100
TYLER, TX 75701
Smith County (903) 596-3500

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 Kristina Mitchell's NPI number?

The NPI number for Kristina Mitchell is 1104121409. It was assigned to this individual provider in the NPPES registry on January 18, 2011.

Where is Kristina Mitchell located?

Kristina Mitchell practices at 1000 E 5th St Ste 100, Tyler, TX 75701. The listed phone number is (903) 596-3862.

What is Kristina Mitchell's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kristina Mitchell enrolled in Medicare?

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

Which organization bills Medicare for Kristina Mitchell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristina Mitchell reassigns Medicare benefits to Etmc Physician Group Inc. (Tyler, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kristina Mitchell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristina Mitchell accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Kristina Mitchell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kristina Mitchell was last updated on August 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.