INGRID DOMINIC MITCHELL P.A.
NPI 1295750677
Physician Assistant - Medical in Detroit, MI

Active since July 13, 2006PECOS Enrolled
18254 LIVERNOIS AVE STE 1, DETROIT, MI 48221(313) 861-4400(248) 336-9137 Get Directions Write a Review

NPPES record last updated: June 1, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ingrid Dominic Mitchell P.a. NPPES

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

INGRID DOMINIC MITCHELL P.A. (NPI 1295750677) is an individual medical provider in Detroit, Michigan, licensed in Michigan (5601003504) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295750677
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameINGRID DOMINIC MITCHELLCredential: P.A.
Location Address18254 LIVERNOIS AVE STE 1Detroit, MI 48221-4214
Mailing Address390 Enterprise Ct, Suite 103Bloomfield Hills, MI 48302-0320 · (248) 336-4000 · Fax (248) 336-9137
Fax(248) 336-9137
Sole ProprietorNo
Enumeration DateJuly 13, 2006
Last NPPES UpdateJune 1, 2016
NPI 1295750677 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
License Licensed in MI · 5601003504
18254 LIVERNOIS AVE STE 1, Detroit, MI 48221

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ingrid Dominic Mitchell 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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
18254 LIVERNOIS AVE STE 1
DETROIT, MI 48221
Nurse Practitioner
18254 LIVERNOIS AVE STE 1
DETROIT, MI 48221

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 Ingrid Mitchell's NPI number?

The NPI number for Ingrid Mitchell is 1295750677. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Where is Ingrid Mitchell located?

Ingrid Mitchell practices at 18254 Livernois Ave Ste 1, Detroit, MI 48221. The listed phone number is (313) 861-4400.

What is Ingrid Mitchell's specialty?

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

Is Ingrid Mitchell enrolled in Medicare?

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

What insurance does Ingrid Mitchell accept?

Health plans from McLaren Health Plan Community list Ingrid Mitchell 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.

When was this NPI record last updated?

The NPPES record for Ingrid Mitchell was last updated on June 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.