KIMBERLY A MITCHELL FNP
NPI 1518699479
Nurse Practitioner in Glendale, AZ

Q: What is Kimberly Mitchell's NPI number?

The NPI number for Kimberly Mitchell is 1518699479. It was assigned to this individual provider in the NPPES registry on June 29, 2022.

Q: What is Kimberly Mitchell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Mitchell was last updated on December 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 29, 2022PECOS EnrolledAccepts Medicare Assignment

18555 N 79TH AVE STE B108, GLENDALE, AZ 85308(888) 705-8558(480) 776-0025 Get Directions Write a Review

NPPES record last updated: December 27, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 27, 2022, Aug 31, 2022 (2 updates tracked since 2022).

On this page

About Kimberly A Mitchell Fnp NPPES

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

KIMBERLY A MITCHELL FNP (NPI 1518699479) is an individual nurse practitioner in Glendale, Arizona, licensed in Arizona (277227) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1518699479

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKIMBERLY A MITCHELLCredential: FNP

Location Address18555 N 79TH AVE STE B108Glendale, AZ 85308-8372

Mailing Address2145 E Baseline Rd # 101Tempe, AZ 85283-1503 · (888) 705-8558 · Fax (480) 776-0025

Phone(888) 705-8558

Fax(480) 776-0025

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateJune 29, 2022

Last NPPES UpdateDecember 27, 20222 updates tracked since enumeration

NPPES CertifiedDecember 27, 2022

✔ NPI 1518699479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in AZ · 277227

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

18555 N 79TH AVE STE B108, Glendale, AZ 85308

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kimberly A Mitchell Fnp 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 ID9133503014

PECOS Enrollment IDI20220825003127

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

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

Healthy Outlook Family Medicine, PC

12 mi

Family Medicine

1835 W MISSOURI AVE
Phoenix, AZ 85015

Reassigned Medicare billing, Arizona enrollment
7 clinicians in this Medicare group

NPI 1023161825 (602) 230-0777

Alliance Medical Clinic, LLC

16 mi

Internal Medicine

42104 N VENTURE DR, SUITE D118
Anthem, AZ 85086

Reassigned Medicare billing, Arizona enrollment
12 clinicians in this Medicare group

NPI 1740224054 (623) 505-6565

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

270 services200 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

111 services82 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

46 services46 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

44 services44 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

32 services30 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

28 services27 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

20 services13 patients

Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) G0506

This service involves a thorough evaluation of patients needing ongoing care for chronic conditions. It includes creating a tailored care plan, coordinating with healthcare providers, and monitoring progress regularly. The goal is to provide optimal, personalized care for your long-term health needs.

20 services20 patients

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

14 services14 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

12 services12 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85308 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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 3

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

DIANA ANDREEA STAN

Physician Assistant (Medical)

18555 N 79TH AVE STE B108
GLENDALE, AZ 85308

Maricopa County (623) 773-2848

MARK CLINTON LUBA MD

Family Medicine

18555 N 79TH AVE STE B108
GLENDALE, AZ 85308

Maricopa County (888) 705-8558

NICOLE JANE CASCELLA PA-C

Physician Assistant

18555 N 79TH AVE STE B108
GLENDALE, AZ 85308

Maricopa County (623) 773-2848

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 Kimberly Mitchell's NPI number?

The NPI number for Kimberly Mitchell is 1518699479. It was assigned to this individual provider in the NPPES registry on June 29, 2022.

Where is Kimberly Mitchell located?

Kimberly Mitchell practices at 18555 N 79th Ave Ste B108, Glendale, AZ 85308. The listed phone number is (888) 705-8558.

What is Kimberly Mitchell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kimberly Mitchell enrolled in Medicare?

Yes. Kimberly 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.

Which organizations bill Medicare for Kimberly Mitchell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Mitchell reassigns Medicare benefits to 2 organizations: Healthy Outlook Family Medicine, PC (Phoenix, AZ) and Alliance Medical Clinic, LLC (Anthem, AZ). 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 Kimberly Mitchell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Mitchell accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health and Blue Cross Blue Shield of Arizona list Kimberly 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 Kimberly Mitchell was last updated on December 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.