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SAMANTHA MITCHELL
NPI 1104656842
Nurse Practitioner - Family in Denver, CO

Active since August 06, 2024PECOS EnrolledAccepts Medicare Assignment
895 S LOGAN ST UNIT A, DENVER, CO 80209(303) 733-3764 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 24, 2025, Aug 6, 2024 (2 updates tracked since 2024).

About Samantha Mitchell NPPES

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

SAMANTHA MITCHELL (NPI 1104656842) is an individual family provider in Denver, Colorado, licensed in Colorado (2024030392) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1104656842
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSAMANTHA MITCHELL
Location Address895 S LOGAN ST UNIT ADenver, CO 80209-4127
Mailing Address15101 E Iliff Ave Ste 140Aurora, CO 80014-4548 · (720) 878-7055
Phone(303) 733-3764
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 6, 2024
Last NPPES UpdateMarch 24, 20252 updates tracked since enumeration
NPPES CertifiedMarch 24, 2025
✔ NPI 1104656842 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 CO · 2024030392
895 S LOGAN ST UNIT A, Denver, CO 80209
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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 and accepts Medicare assignment

Samantha Mitchell is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486186350
PECOS Enrollment IDI20241016003234
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80209 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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

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

SAVANNAH BYSTROM MEASE PA-C
Physician Assistant
895 S LOGAN ST UNIT A
DENVER, CO 80209
Denver County (303) 733-3764

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 Samantha Mitchell's NPI number?

The NPI number for Samantha Mitchell is 1104656842. It was assigned to this individual provider in the NPPES registry on August 6, 2024.

Where is Samantha Mitchell located?

Samantha Mitchell practices at 895 S Logan St Unit A, Denver, CO 80209. The listed phone number is (303) 733-3764.

What is Samantha Mitchell's specialty?

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

Is Samantha Mitchell enrolled in Medicare?

Yes. Samantha Mitchell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Samantha Mitchell was last updated on March 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.