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

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: October 25, 2026.

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

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 Johnson City Medical Center and is a graduate of Other (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
Sole ProprietorNo
Medical School CMSOtherGraduated 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

Other Names 1

Former Name (1)Kristina Mullin

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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

Medicare Billing Reassignments

3

Medicare enrollment records show Kristina Mitchem reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
10415 WALLACE ALLEY ST
Kingsport, TN 37663
  • Reassigned Medicare billing, Tennessee enrollment
  • 294 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
310 N STATE OF FRANKLIN RD STE 202
Johnson City, TN 37604
  • Reassigned Medicare billing, Tennessee enrollment
  • 33 clinicians in this Medicare group
Physician Assistant
1 HOSPITAL DR STE 4100
Asheville, NC 28801
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Mission Health Community Multispecialty Providers LLC
  • 824 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.

Hospital Affiliations CMS Care Compare

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

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.

Nurse Anesthetist, Certified Registered
10415 WALLACE ALLEY ST
KINGSPORT, TN 37663
Nurse Anesthetist, Certified Registered
10415 WALLACE ALLEY ST
KINGSPORT, TN 37663
Nurse Anesthetist, Certified Registered
10415 WALLACE ALLEY ST
KINGSPORT, TN 37663
Nurse Anesthetist, Certified Registered
10415 WALLACE ALLEY ST
KINGSPORT, TN 37663
Nurse Anesthetist, Certified Registered
10415 WALLACE ALLEY ST
KINGSPORT, TN 37663
Nurse Anesthetist, Certified Registered
10415 WALLACE ALLEY ST
KINGSPORT, TN 37663
Nurse Anesthetist, Certified Registered
10415 WALLACE ALLEY ST
KINGSPORT, TN 37663
Nurse Anesthetist, Certified Registered
10415 WALLACE ALLEY ST
KINGSPORT, TN 37663

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 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.

Where is Kristina Mitchem located?

Kristina Mitchem practices at 10415 Wallace Alley St, Kingsport, TN 37663. The listed phone number is (423) 390-0451.

What is Kristina Mitchem's specialty?

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

Is Kristina Mitchem enrolled in Medicare?

Yes. Kristina Mitchem is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kristina Mitchem's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristina Mitchem reassigns Medicare benefits to 3 organizations: Paragon Anesthesia PC (Kingsport, TN), Tennessee Valley Anesthesia Associates, LLC (Johnson City, TN) and Mission Community Anesthesiology Specialists LLC (Asheville, NC). Each 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 Kristina Mitchem's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristina Mitchem accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Cigna Healthcare list Kristina Mitchem as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kristina Mitchem affiliated with any hospitals?

According to CMS data, Kristina Mitchem is affiliated with Johnson City Medical Center.

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.