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KYLERRA JUNE MITCHELL MD
NPI 1255134094
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since March 28, 2025PECOS Enrolled
1701 N SENATE BLVD RM AG012, INDIANAPOLIS, IN 46202(317) 962-5975 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kylerra June Mitchell Md NPPES

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

KYLERRA JUNE MITCHELL MD (NPI 1255134094) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255134094
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKYLERRA JUNE MITCHELLCredential: MD
Location Address1701 N SENATE BLVD RM AG012Indianapolis, IN 46202-1239
Mailing Address1701 N Senate Blvd Rm Ag012Indianapolis, IN 46202-1239 · (317) 962-5975
Phone(317) 962-5975
Sole ProprietorNo
Enumeration DateMarch 28, 2025
NPPES CertifiedMarch 28, 2025
✔ NPI 1255134094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1701 N SENATE BLVD RM AG012, Indianapolis, IN 46202
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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)

Kylerra June Mitchell Md 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.

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.

SAMANTHA R MAURER DO
Student in an Organized Health Care Education/Training Program
1701 N SENATE BLVD RM AG012
INDIANAPOLIS, IN 46202
Marion County (317) 962-5975
MICHAEL FRANCIS LUBA MD
Emergency Medicine
1701 N SENATE BLVD RM AG012
INDIANAPOLIS, IN 46202
Marion County (317) 962-5975
KEVIN WALTERS MD
Emergency Medicine
1701 N SENATE BLVD RM AG012
INDIANAPOLIS, IN 46202
Marion County (317) 962-5975
DR. LAUREN K STEWART M.D.
Emergency Medicine
1701 N SENATE BLVD RM AG012
INDIANAPOLIS, IN 46202
Marion County (317) 962-5975
DANIEL ROBERT WRIGHT DO
Emergency Medicine
1701 N SENATE BLVD RM AG012
INDIANAPOLIS, IN 46202
Marion County (317) 962-5975
MALLORY LAUREN CESCATO MD
Emergency Medicine
1701 N SENATE BLVD RM AG012
INDIANAPOLIS, IN 46202
Marion County (317) 962-5975
KYLE ANTHONY BIVINS MD, MS
Student in an Organized Health Care Education/Training Program
1701 N SENATE BLVD RM AG012
INDIANAPOLIS, IN 46202
Marion County (317) 962-5975
MADISON BROOKE REED MD
Emergency Medicine
1701 N SENATE BLVD RM AG012
INDIANAPOLIS, IN 46202
Marion County (317) 962-5975

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 Kylerra Mitchell's NPI number?

The NPI number for Kylerra Mitchell is 1255134094. It was assigned to this individual provider in the NPPES registry on March 28, 2025.

Where is Kylerra Mitchell located?

Kylerra Mitchell practices at 1701 N Senate Blvd Rm Ag012, Indianapolis, IN 46202. The listed phone number is (317) 962-5975.

What is Kylerra Mitchell's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kylerra Mitchell enrolled in Medicare?

Yes. Kylerra Mitchell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kylerra Mitchell was last updated on March 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.