BETSY MAE MITCHELL ANP-BC
NPI 1417262940
Nurse Practitioner - Adult Health in Chicago, IL
About Betsy Mae Mitchell Anp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BETSY MAE MITCHELL ANP-BC (NPI 1417262940) is an individual adult health provider in Chicago, Illinois, licensed in Illinois (209.008238) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Betsy Mae Mitchell Anp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Betsy Mitchell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Carol Stream, IL 60122
- Reassigned Medicare billing, Illinois enrollment
- 4,817 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60611 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
CHICAGO, IL 60611
CHICAGO, IL 60611
CHICAGO, IL 60611
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 Betsy Mitchell's NPI number?
The NPI number for Betsy Mitchell is 1417262940. It was assigned to this individual provider in the NPPES registry on August 9, 2010.
Where is Betsy Mitchell located?
Betsy Mitchell practices at 676 N Saint Clair St Suite 850, Chicago, IL 60611. The listed phone number is (312) 695-6771.
What is Betsy Mitchell's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Betsy Mitchell enrolled in Medicare?
Yes. Betsy Mitchell is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Betsy Mitchell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Betsy Mitchell reassigns Medicare benefits to Northwestern Medical Faculty Foundation (Carol Stream, IL). The 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 Betsy Mitchell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Betsy Mitchell was last updated on August 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Betsy Mae Mitchell, ANP-BC · NPI 1417262940
Adult Health physician in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since August 9, 2010.
## Identity
- **NPI:** 1417262940 (Entity type: Individual)
- **Enumerated:** August 9, 2010
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 209.008238 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 676 N SAINT CLAIR ST, SUITE 850, Chicago, IL 60611-2927
- **Phone:** (312) 695-6771
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Northwestern Medical Faculty Foundation (NPI 1346235314, Carol Stream, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 9, 2010
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Source: [NPI Profile](https://npiprofile.com/npi/1417262940) · Data from the CMS NPPES public registry.