1. Home
  2. Directory
  3. NPI Profile

MR. PHILLIP DAKOTAH MITCHELL
NPI 1376037424
Physician Assistant in Lr Afb, AR

Active since June 20, 2018PECOS Enrolled
1090 ARNOLD DR, LR AFB, AR 72099(501) 987-3080 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 5, 2022, Jun 3, 2020, Jun 20, 2018 (3 updates tracked since 2018).

About Mr. Phillip Dakotah Mitchell NPPES

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

MR. PHILLIP DAKOTAH MITCHELL (NPI 1376037424) is an individual physician assistant in Lr Afb, Arkansas, licensed in New York (025056) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376037424
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. PHILLIP DAKOTAH MITCHELL
Location Address1090 ARNOLD DRLr Afb, AR 72099-4933
Mailing Address1090 Arnold DrLr Afb, AR 72099-4933 · (501) 987-3080
Phone(501) 987-3080
Sole ProprietorNo
Enumeration DateJune 20, 2018
Last NPPES UpdateApril 5, 20223 updates tracked since enumeration
NPPES CertifiedApril 5, 2022
✔ NPI 1376037424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 025056
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.
1090 ARNOLD DR, Lr Afb, AR 72099
Open in Google Maps ↗

Other Names 1

Professional Name (2)Dakotah Mitchell

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Phillip Dakotah Mitchell 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72099 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
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.

MELRITA MAECHEL JOHNSON LCSW
Social Worker (Clinical)
1090 ARNOLD DR
LITTLE ROCK AFB, AR 72099
Pulaski County (501) 987-3080
MRS. TANYA NASHEL MILLER ADC
Counselor (Addiction (Substance Use Disorder))
1090 ARNOLD DR
JACKSONVILLE, AR 72099
Pulaski County (501) 987-7338
COURTNEY MCCULLEY PHARMD.
Pharmacist
1090 ARNOLD DR
LITTLE ROCK AFB, AR 72099
Pulaski County (501) 987-7446
DR. SHARIFA FREIGHTMAN PH.D.
Psychologist (Clinical)
1090 ARNOLD DR
LITTLE ROCK AIR FORCE BASE, AR 72099
Pulaski County (501) 987-3080
CARA D ROTH LCSW
Social Worker (Clinical)
1090 ARNOLD DR
LITTLE ROCK AFB, AR 72099
Pulaski County (501) 987-8811
TAYLOR FLESHMAN RD
Dietitian, Registered
1090 ARNOLD DR
LITTLE ROCK AIR FORCE BASE, AR 72099
Pulaski County (501) 987-2708
MARY EILEEN KELLY
Dental Hygienist
1090 ARNOLD DR
LITTLE ROCK AFB, AR 72099
Pulaski County (501) 987-7304
JACOB ROGIER DNP, CPNP-PC
Nurse Practitioner (Pediatrics)
1090 ARNOLD DR
LITTLE ROCK AFB, AR 72099
Pulaski County (501) 987-3080

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 Phillip Mitchell's NPI number?

The NPI number for Phillip Mitchell is 1376037424. It was assigned to this individual provider in the NPPES registry on June 20, 2018. The provider is also known as Dakotah Mitchell.

Where is Phillip Mitchell located?

Phillip Mitchell practices at 1090 Arnold Dr, Lr Afb, AR 72099. The listed phone number is (501) 987-3080.

What is Phillip Mitchell's specialty?

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

Is Phillip Mitchell enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Phillip Mitchell was last updated on April 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.