Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ADAM JAMES MITCHELL
NPI 1164342416
Nurse Practitioner - Primary Care in Saint Louis, MO

Q: What is Adam Mitchell's NPI number?

The NPI number for Adam Mitchell is 1164342416. It was assigned to this individual provider in the NPPES registry on July 17, 2026.

Q: What is Adam Mitchell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Adam Mitchell was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days 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.

Active since July 17, 2026PECOS Enrolled

4005 RIPA AVE, SAINT LOUIS, MO 63125(314) 544-1111 Get Directions Write a Review

NPPES record added: July 17, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Adam James Mitchell NPPES

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

ADAM JAMES MITCHELL (NPI 1164342416) is an individual primary care provider in Saint Louis, Missouri, licensed in Missouri (2026034005) and active in the NPI registry since July 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164342416

Entity TypeIndividualMale

Primary Taxonomy363LP2300X

Provider Legal NameADAM JAMES MITCHELL

Location Address4005 RIPA AVESaint Louis, MO 63125-2378

Mailing Address2212 Hickory StSaint Louis, MO 63104-2417 · (573) 837-0601

Phone(314) 544-1111

Sole ProprietorNo

Enumeration DateJuly 17, 2026

NPPES CertifiedJuly 17, 2026

✔ NPI 1164342416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in MO · 2026034005

4005 RIPA AVE, Saint Louis, MO 63125

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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)

Adam James Mitchell 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63125 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

$86.32 typical visit price

range $55.65 – $169.38

Typical copayment $21.58 (range $13.91 – $42.34)

Most-billed visit code 99203

Established Patient

$98.37 typical visit price

range $17.76 – $137.92

Typical copayment $24.59 (range $4.44 – $34.48)

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 12

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

CARRIE VIDEMSCHEK R.N.

Registered Nurse