MITCHELL ROBERT TIELL PA
NPI 1255057873
Physician Assistant in Grand Rapids, MI

Q: What is Mitchell Tiell's NPI number?

The NPI number for Mitchell Tiell is 1255057873. It was assigned to this individual provider in the NPPES registry on October 14, 2022.

Q: What is Mitchell Tiell's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Mitchell Tiell was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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 October 14, 2022

301 MICHIGAN ST NE, GRAND RAPIDS, MI 49503(616) 331-5700(616) 331-5999 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 11, 2025, Oct 14, 2022 (2 updates tracked since 2022).

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About Mitchell Robert Tiell Pa NPPES

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

MITCHELL ROBERT TIELL PA (NPI 1255057873) is an individual physician assistant in Grand Rapids, Michigan and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1255057873

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMITCHELL ROBERT TIELLCredential: PA

Location Address301 MICHIGAN ST NEGrand Rapids, MI 49503-3314

Mailing Address1 Campus DrAllendale, MI 49401-9403 · (616) 331-5700 · Fax (616) 331-5999

Phone(616) 331-5700

Fax(616) 331-5999

Sole ProprietorNo

Enumeration DateOctober 14, 2022

Last NPPES UpdateJune 11, 20252 updates tracked since enumeration

NPPES CertifiedJune 11, 2025

✔ NPI 1255057873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedBehavior TechnicianTaxonomy 106S00000X

301 MICHIGAN ST NE, Grand Rapids, MI 49503

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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.

ALISON CRARY RN

Registered Nurse