DESHAWN DELORIS MITCHELL APRN
NPI 1508409855
Nurse Practitioner - Gerontology in Lakeland, FL

Active since October 18, 2019PECOS EnrolledAccepts Medicare Assignment
1600 LAKELAND HILLS BLVD, LAKELAND, FL 33805(863) 680-7000(866) 264-8519 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 10, 2025, Jun 18, 2024, Jun 13, 2024 and 1 more (4 updates tracked since 2019).

About Deshawn Deloris Mitchell Aprn NPPES

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

DESHAWN DELORIS MITCHELL APRN (NPI 1508409855) is an individual gerontology provider in Lakeland, Florida, licensed in Florida (APRN11004692) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1508409855
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameDESHAWN DELORIS MITCHELLCredential: APRN
Location Address1600 LAKELAND HILLS BLVDLakeland, FL 33805-3065
Mailing Address305 Kayden CvWinter Haven, FL 33884
Fax(866) 264-8519
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 18, 2019
Last NPPES UpdateNovember 10, 20254 updates tracked since enumeration
NPPES CertifiedNovember 10, 2025
NPI 1508409855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in FL · APRN11004692
1600 LAKELAND HILLS BLVD, Lakeland, FL 33805

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

Deshawn Deloris Mitchell Aprn 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 ID8628494143
PECOS Enrollment IDI20200814000969
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 33805 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
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.

Obstetrics & Gynecology
1600 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Internal Medicine
1600 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Nurse Practitioner
1600 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Anesthesiology
1600 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Internal Medicine
1600 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Family Medicine
1600 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Internal Medicine
1600 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Nurse Anesthetist, Certified Registered
1600 LAKELAND HILLS BLVD
LAKELAND, FL 33805

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 Deshawn Mitchell's NPI number?

The NPI number for Deshawn Mitchell is 1508409855. It was assigned to this individual provider in the NPPES registry on October 18, 2019.

Where is Deshawn Mitchell located?

Deshawn Mitchell practices at 1600 Lakeland Hills Blvd, Lakeland, FL 33805. The listed phone number is (863) 680-7000.

What is Deshawn Mitchell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Deshawn Mitchell enrolled in Medicare?

Yes. Deshawn Mitchell 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.

When was this NPI record last updated?

The NPPES record for Deshawn Mitchell was last updated on November 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.