JENNIFER E MIXTER P.A.
NPI 1205268448
Physician Assistant - Medical in Charlotte, NC

Q: What is Jennifer Mixter's NPI number?

The NPI number for Jennifer Mixter is 1205268448. It was assigned to this individual provider in the NPPES registry on July 30, 2013.

Q: What is Jennifer Mixter's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Mixter was last updated on December 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since July 30, 2013PECOS Enrolled

501 S SHARON AMITY RD STE 300, CHARLOTTE, NC 28211(704) 377-2424(704) 377-2687 Get Directions Write a Review

NPPES record last updated: December 13, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jennifer E Mixter P.a. NPPES

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

JENNIFER E MIXTER P.A. (NPI 1205268448) is an individual medical provider in Charlotte, North Carolina, licensed in North Carolina (0010-05528) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205268448

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameJENNIFER E MIXTERCredential: P.A.

Location Address501 S SHARON AMITY RD STE 300Charlotte, NC 28211-0035

Mailing Address501 S Sharon Amity Rd Ste 300Charlotte, NC 28211-0035 · (704) 377-2424 · Fax (704) 377-2687

Phone(704) 377-2424

Fax(704) 377-2687

Sole ProprietorNo

Enumeration DateJuly 30, 2013

Last NPPES UpdateDecember 13, 2018

✔ NPI 1205268448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

Licenses✔ Licensed in NC · 0010-05528✔ Licensed in MD · C0005069

501 S SHARON AMITY RD STE 300, Charlotte, NC 28211

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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)

Jennifer E Mixter P.a. 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.

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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.

MICHAEL STEPHEN MERRILL M.D.

Emergency Medicine