GWEN E. MITCHELL
NPI 1508989237
Psychologist - School in Moscow, ID

Active since April 09, 2007PECOS Enrolled
129 W 3RD ST, MOSCOW, ID 83843(208) 885-3588 Get Directions Write a Review

NPPES record last updated: July 19, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Gwen E. Mitchell NPPES

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

GWEN E. MITCHELL (NPI 1508989237) is an individual school provider in Moscow, Idaho and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Moscow.

NPPES Registry Identity

NPI1508989237
Entity TypeIndividualFemale
Primary Taxonomy103TS0200X
Provider Legal NameGWEN E. MITCHELL
Location Address129 W 3RD STMoscow, ID 83843-2268
Mailing Address420 Summit RdMoscow, ID 83843-9651
Sole ProprietorYes
Enumeration DateApril 9, 2007
Last NPPES UpdateJuly 19, 2024
NPPES CertifiedJuly 19, 2024
✔ NPI 1508989237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · SchoolBehavioral Health & Social Service Providers
Taxonomy Code103TS0200X
Definition
A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide a range of psychological diagnosis, assessment, intervention, prevention, health promotion, and program development and evaluation services with a special focus on the developmental processes of children and youth within the context of schools, families and other systems. School psychologists are prepared to intervene at the individual and system level, and develop, implement, and evaluate preventive programs. In these efforts, they conduct ecologically valid assessments and intervene to promote positive learning environments within which children and youth from diverse backgrounds to ensure that all have equal access to effective educational and psychological services that promote healthy development
129 W 3RD ST, Moscow, ID 83843

Secondary Practice Location 1

Location 1623 S Main St Ste 1Moscow, ID 83843-2983 · Phone (208) 882-2011 · Fax (208) 883-1853

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gwen E. 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Gwen Mitchell reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Critical Access
700 S MAIN ST
Moscow, ID 83843
  • Reassigned Medicare billing, Idaho enrollment
  • 62 clinicians in this Medicare group
Family Medicine
623 S MAIN ST STE 1
Moscow, ID 83843
  • Reassigned Medicare billing, Idaho enrollment
  • 28 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.

Other Providers at the Same Location NPPES

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

Psychologist
129 W 3RD ST
MOSCOW, ID 83843

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 Gwen Mitchell's NPI number?

The NPI number for Gwen Mitchell is 1508989237. It was assigned to this individual provider in the NPPES registry on April 9, 2007.

Where is Gwen Mitchell located?

Gwen Mitchell practices at 129 W 3rd St, Moscow, ID 83843. The listed phone number is (208) 885-3588.

What is Gwen Mitchell's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in School, with taxonomy code 103TS0200X.

Is Gwen Mitchell enrolled in Medicare?

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

Which organizations bill Medicare for Gwen Mitchell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gwen Mitchell reassigns Medicare benefits to 2 organizations: Gritman Medical Center Inc (Moscow, ID) and Gritman Medical Center, Inc. (Moscow, ID). 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 Gwen Mitchell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gwen Mitchell accept?

Health plans from Molina Healthcare, PacificSource Health Plans and Providence Health Plan list Gwen 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 Gwen Mitchell was last updated on July 19, 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.