KRISTINA ELIZABETH MITCHEM CRNA
NPI 1265048904
Nurse Anesthetist, Certified Registered in Kingsport, TN

Q: What is Kristina Mitchem's NPI number?

The NPI number for Kristina Mitchem is 1265048904. It was assigned to this individual provider in the NPPES registry on September 18, 2020. The provider is also known as Kristina Mullin.

Q: What is Kristina Mitchem's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Kristina Mitchem was last updated on August 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 September 18, 2020Accepts Medicare Assignment

10415 WALLACE ALLEY ST, KINGSPORT, TN 37663(423) 390-0451 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 5, 2024, Nov 9, 2023, Jul 27, 2021 and 2 more (5 updates tracked since 2020).

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About Kristina Elizabeth Mitchem Crna NPPES

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

KRISTINA ELIZABETH MITCHEM CRNA (NPI 1265048904) is an individual nurse anesthetist, certified registered in Kingsport, Tennessee, licensed in Tennessee (28202) and active in the NPI registry since September 2020. She is affiliated with Sycamore Shoals Hospital and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2020).

NPPES Registry Identity

NPI1265048904

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameKRISTINA ELIZABETH MITCHEMCredential: CRNA

Location Address10415 WALLACE ALLEY STKingsport, TN 37663-3936

Mailing Address10451 Wallace Alley StKingsport, TN 37663 · (423) 390-0451 · Fax (423) 283-0554

Phone(423) 390-0451

Sole ProprietorNo

Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2020

Enumeration DateSeptember 18, 2020

Last NPPES UpdateAugust 5, 20245 updates tracked since enumeration

NPPES CertifiedJuly 30, 2024

✔ NPI 1265048904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in TN · 28202

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Also ListedRegistered NurseTaxonomy 163W00000X · License 201229 (TN)

10415 WALLACE ALLEY ST, Kingsport, TN 37663

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Other Names 1

Former Name (1)Kristina Mullin

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kristina Elizabeth Mitchem Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214357367

PECOS Enrollment IDI20201012001976

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sycamore Shoals Hospital

Acute Care Hospitals · Elizabethton, TN

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440018

Location1501 West Elk AvenueElizabethton, TN 37643 · Carter County

Emergency services

Johnson City Medical Center

Acute Care Hospitals · Johnson City, TN

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440063

Location400 N State Of Franklin RdJohnson City, TN 37604 · Washington County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37663 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

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