DR. KIA MICHON MITCHELL M.D.
NPI 1184602583
Family Medicine in Jacksonville, FL
Quality Rating: 60 out of 100 score
NPI Status: Active since January 05, 2006
Contact Information
12086 FORT CAROLINE RD
STE 401
JACKSONVILLE, FL
ZIP 32225
Phone: (904) 565-1271
Fax: (904) 645-7325
- Individual
- Female
- Years of Experience 22
- Family Medicine
- PECOS Enrolled
- May Accept Medicare Approved Payment
About KIA MITCHELL
Kia Mitchell is a primary care provider established in Jacksonville, Florida and her medical specialization is Family Medicine with more than 22 years of experience. She graduated from University Of Miami, Lm Miller School Of Medicine in 2002. The healthcare provider is registered in the NPI registry with number 1184602583 assigned on January 2006. The practitioner's primary taxonomy code is 207Q00000X with license number ME94137 (FL). The provider is registered as an individual and her NPI record was last updated 5 years ago.
NPI | 1184602583 |
Provider Name | DR. KIA MICHON MITCHELL M.D. |
Location Address | 12086 FORT CAROLINE RD STE 401 JACKSONVILLE, FL 32225 |
Location Phone | (904) 565-1271 |
Mailing Address | 12086 FORT CAROLINE RD STE 401 JACKSONVILLE, FL 32225 |
Gender | Female |
Entity Type | Individual |
Medical School Name | UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE |
Graduation Year | 2002 |
Is Sole Proprietor? | No |
Enumeration Date | 01-05-2006 |
Last Update Date | 06-22-2019 |
Code Navigator |
A primary care provider (PCP) like Kia Mitchell sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc
Kia Mitchell is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 60, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- ME94137
- License State
- FL
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Location Map
Mailing Address
12086 FORT CAROLINE RD STE 401
JACKSONVILLE, FL
ZIP 32225
Phone: (904) 565-1271
Fax: (904) 683-6884
Insurance Plans Accepted
The NPI profile data suggests this provider may be accepting health plans from these insurance companies or healthcare programs:
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
273549100 | MEDICAID (05) | FL | |
29405 | OTHER (01) | FL | FL BLUE |
PECOS Enrollment and Medicare Participation Status
Kia Mitchell is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 1052346657
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20051003000506
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Maybe
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 32225 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $90.24
- Minimum New Patient Price $58.4
- Maximum New Patient Price $178.79
- Average New Patient Copayment $22.56
- Minimum New Patient Copayment $14.6
- Maximum New Patient Copayment $44.69
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $103.76
- Minimum Established Patient Price $17.74
- Maximum Established Patient Price $145.28
- Average Established Patient Copayment $25.94
- Minimum Established Patient Copayment $4.43
- Maximum Established Patient Copayment $36.32
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Overall MIPS Quality Performance
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
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Final Score: 60 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
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Quality Score: N/A
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
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Promoting Interoperability Score: N/A
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: N/A
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 1 | 8 | 4 | 6 | 0 | 2 | 5 | 8 | 3 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 1 | 16 | 4 | 12 | 0 | 4 | 5 | 16 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 1 + 1 + 6 + 4 + 1 + 2 + 0 + 4 + 5 + 1 + 6 + 24 = 57 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 57 = 3 | 3 |
The NPI number 1184602583 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 14 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1992847511 | DR. AMY DAY SESSIONS D.C. Individual | Chiropractor | 12086 FORT CAROLINE RD SUITE 302 JACKSONVILLE, FL 32225 (904) 564-2500 |
1851587323 | FT CAROLINE CHIROPRACTIC CLINIC PA Organization | Chiropractor | 12086 FORT CAROLINE RD SUITE 302 JACKSONVILLE, FL 32225 (904) 564-2500 |
1225212319 | DR. GARTH CLIVE TRINDER-SMITH D.C. Individual | Chiropractor | 12086 FORT CAROLINE RD UNIT 504 JACKSONVILLE, FL 32225 (904) 646-1108 |
1710162433 | ATLAS CHIROPRACTIC CLINIC INC Organization | Clinic/Center | 12086 FORT CAROLINE RD UNIT 504 JACKSONVILLE, FL 32225 (904) 646-1108 |
1467778761 | DR. BLAKE MOSER D.C. Individual | Chiropractor | 12086 FORT CAROLINE RD SUITE 302 JACKSONVILLE, FL 32225 (904) 564-2500 |
1962704866 | FT CAROLINE CHIROPRACTIC CLINIC Organization | Chiropractor | 12086 FORT CAROLINE RD SUITE 302 JACKSONVILLE, FL 32225 (904) 564-2500 |
1407101033 | DR. IRIVELISSE STEVENS PORTER DMD Individual | Dentist (General Practice) | 12086 FORT CAROLINE RD SUITE 105 JACKSONVILLE, FL 32225 (904) 807-9127 |
1508110602 | DR. PAUL SCHLOTH DMD Individual | Dentist | 12086 FORT CAROLINE RD SUITE 105 JACKSONVILLE, FL 32225 (904) 807-9127 |
1356693881 | WILLIAM DEWEY LEE III PA Individual | Physician Assistant (Medical) | 12086 FORT CAROLINE RD STE # 401 JACKSONVILLE, FL 32225 (904) 565-1271 |
1750476065 | ALL ABOUT KIDS AND FAMILY MEDICAL CENTER INC Organization | Pediatrics | 12086 FORT CAROLINE RD SUITE 401 JACKSONVILLE, FL 32225 (904) 565-1271 |
1730584673 | MEGAN FINCK PA-C Individual | Physician Assistant | 12086 FORT CAROLINE RD SUITE #401 JACKSONVILLE, FL 32225 (904) 565-1271 |
1518275254 | KAITLIN RAY ARNP Individual | Nurse Practitioner (Pediatrics) | 12086 FORT CAROLINE RD 401 JACKSONVILLE, FL 32225 (904) 565-1271 |
1831296656 | THANH M NGUYEN MD Individual | Pediatrics (Pediatric Endocrinology) | 12086 FORT CAROLINE RD STE 401 JACKSONVILLE, FL 32225 (904) 565-1271 |
1619329075 | DR. RYAN ADAM LOREN SR. DC Individual | Chiropractor | 12086 FORT CAROLINE RD STE 302 JACKSONVILLE, FL 32225 (407) 532-8895 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184602583, enumerated in the NPI registry as an "individual" on January 05, 2006
The provider is located at 12086 Fort Caroline Rd Ste 401 Jacksonville, Fl 32225 and the phone number is (904) 565-1271
The provider's speciality is Family Medicine with taxonomy code 207Q00000X
The provider has more than 22 years of experience. She graduated from University Of Miami, Lm Miller School Of Medicine in 2002.
The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of April 12, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $90.24 with an average copayment of $22.56 for new patient appointments. Established patients should expect a typical charge of $103.76 and an average copayment of 25.94. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on January 05, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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