EBONY Y MITCHELL APNP
NPI 1205144334
Nurse Practitioner - Family in Milwaukee, WI
About Ebony Y Mitchell Apnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EBONY Y MITCHELL APNP (NPI 1205144334) is an individual family provider in Milwaukee, Wisconsin, licensed in Texas (AP120366) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ebony Y Mitchell Apnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Ebony Mitchell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Garland, TX 75040
- Reassigned Medicare billing, Texas enrollment
- 808 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53233 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MILWAUKEE, WI 53233
MILWAUKEE, WI 53233
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 Ebony Mitchell's NPI number?
The NPI number for Ebony Mitchell is 1205144334. It was assigned to this individual provider in the NPPES registry on September 23, 2010.
Where is Ebony Mitchell located?
Ebony Mitchell practices at 945 N 12th St Suite 101, Milwaukee, WI 53233. The listed phone number is (414) 219-5800.
What is Ebony Mitchell's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Ebony Mitchell enrolled in Medicare?
Yes. Ebony Mitchell is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Ebony Mitchell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ebony Mitchell reassigns Medicare benefits to Dallas County Hospital District (Garland, 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 Ebony Mitchell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Ebony Mitchell was last updated on February 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Ebony Y Mitchell, APNP · NPI 1205144334
Family physician in Milwaukee, Wisconsin. Individual provider, active in the CMS NPPES registry since September 23, 2010.
## Identity
- **NPI:** 1205144334 (Entity type: Individual)
- **Enumerated:** September 23, 2010
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** AP120366 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 945 N 12TH ST, SUITE 101, Milwaukee, WI 53233-1305
- **Phone:** (414) 219-5800 · **Fax:** (414) 219-5712
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Dallas County Hospital District (NPI 1811939994, Garland, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 16, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1205144334) · Data from the CMS NPPES public registry.