MS. MARY CHANTAY MITCHELL FNP-C
NPI 1174123632
Nurse Practitioner - Family in Memphis, TN

Active since October 26, 2020PECOS EnrolledAccepts Medicare Assignment
3342 CARIBOU DR, MEMPHIS, TN 38115(901) 289-3611 Get Directions Write a Review

NPPES record last updated: January 25, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 25, 2021, Oct 29, 2020 (2 updates tracked since 2020).

About Ms. Mary Chantay Mitchell Fnp-c NPPES

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

MS. MARY CHANTAY MITCHELL FNP-C (NPI 1174123632) is an individual family provider in Memphis, Tennessee, licensed in Tennessee (28299) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1174123632
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. MARY CHANTAY MITCHELLCredential: FNP-C
Location Address3342 CARIBOU DRMemphis, TN 38115-3006
Mailing Address3342 Caribou DrMemphis, TN 38115-3006 · (901) 289-3611
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 26, 2020
Last NPPES UpdateJanuary 25, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2021
✔ NPI 1174123632 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 TN · 28299
3342 CARIBOU DR, Memphis, TN 38115

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Mary Chantay Mitchell Fnp-c 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 ID9436545951
PECOS Enrollment IDI20220411001167
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 Reassignments

6

Medicare enrollment records show Mary Mitchell reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
765 WOODLAND TRACE LN
Cordova, TN 38018
  • Reassigned Medicare billing, Tennessee enrollment
  • 47 clinicians in this Medicare group
General Practice
210 WESTWOOD PL STE 110
Brentwood, TN 37027
  • Reassigned Medicare billing, Tennessee enrollment
  • 40 clinicians in this Medicare group
Family Medicine
1205 ROBINSON RD
Old Hickory, TN 37138
  • Reassigned Medicare billing, Tennessee enrollment
  • 11 clinicians in this Medicare group
Nurse Practitioner
919 MEDICAL PARK DR
Mountain City, TN 37683
  • Reassigned Medicare billing, Tennessee enrollment
  • 39 clinicians in this Medicare group
Nurse Practitioner
919 MEDICAL PARK DR
Mountain City, TN 37683
  • Reassigned Medicare billing, Tennessee enrollment
  • 46 clinicians in this Medicare group
Nurse Practitioner
919 MEDICAL PARK DR
Mountain City, TN 37683
  • Reassigned Medicare billing, Tennessee enrollment
  • 66 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
30 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38115 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

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 Mary Mitchell's NPI number?

The NPI number for Mary Mitchell is 1174123632. It was assigned to this individual provider in the NPPES registry on October 26, 2020.

Where is Mary Mitchell located?

Mary Mitchell practices at 3342 Caribou Dr, Memphis, TN 38115. The listed phone number is (901) 289-3611.

What is Mary Mitchell's specialty?

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

Is Mary Mitchell enrolled in Medicare?

Yes. Mary 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.

Which organizations bill Medicare for Mary Mitchell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Mitchell reassigns Medicare benefits to 6 organizations: Segue Health Partners LLC (Cordova, TN), Landmark Medical Of Tennessee PC (Brentwood, TN), Matter Health Of Tennessee, PLLC (Old Hickory, TN), Abode Care Partners Al Vb, LLC (Mountain City, TN), Abode Care Partners Ltc Vb, LLC (Mountain City, TN) and 1 more organization, listed in the Medicare section above. Each 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 Mary Mitchell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Mitchell accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Mary 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 Mary Mitchell was last updated on January 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.