KORY LANCE MITCHELL ACUTE CARE NURSE PRA
NPI 1588735104
Nurse Practitioner - Acute Care in Lubbock, TX

Active since November 13, 2006PECOS EnrolledAccepts Medicare Assignment
3502 9TH ST STE 260, LUBBOCK, TX 79415(806) 792-8185(806) 792-9180 Get Directions Write a Review

NPPES record last updated: August 29, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 29, 2022, Mar 22, 2021, Jan 21, 2019 (3 updates tracked since 2019).

About Kory Lance Mitchell Acute Care Nurse Pra NPPES

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

KORY LANCE MITCHELL ACUTE CARE NURSE PRA (NPI 1588735104) is an individual acute care provider in Lubbock, Texas, licensed in Texas (AP114881) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Carlsbad Medical Center, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1588735104
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameKORY LANCE MITCHELLCredential: ACUTE CARE NURSE PRA
Location Address3502 9TH ST STE 260Lubbock, TX 79415-5305
Mailing Address5219 City Bank Pkwy Ste 35Lubbock, TX 79407 · (806) 761-0333 · Fax (806) 782-0097
Fax(806) 792-9180
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateNovember 13, 2006
Last NPPES UpdateAugust 29, 20223 updates tracked since enumeration
NPPES CertifiedAugust 29, 2022
✔ NPI 1588735104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in TX · AP114881
Also ListedRegistered Nurse · Medical-SurgicalTaxonomy 163WM0705X · License 663921 (TX)
3502 9TH ST STE 260, Lubbock, TX 79415

Other Identifiers 4

Other8Y1753TX · Bcbs Of Texas
Medicaid45939268NM
Other8Y5044TX · Bcbs Of Texas
Other151566101Firstcare

Accepted 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

Kory Lance Mitchell Acute Care Nurse Pra 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 ID749374932
PECOS Enrollment IDI20070919000268
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 Reassignment

Medicare enrollment records show Kory Mitchell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
5219 CITY BANK PKWY STE 135
Lubbock, TX 79407
  • Reassigned Medicare billing, Texas enrollment
  • 117 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.

Areas of Expertise CMS Part B claims 7

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
87 services84 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
28 services20 patients
Coronary artery bypass using artery graft, 1 graft 33533
A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.
25 services25 patients
Harvest of vein using an endoscope 33508
Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.
17 services17 patients
Coronary artery bypass using vein or artery graft, 2 grafts 33518
A coronary artery bypass with 2 grafts is a surgery to improve blood flow to your heart. A surgeon takes a healthy vein or artery from your body and attaches it to the blocked coronary artery. This creates a new path for blood to flow, bypassing the blockage.
16 services16 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.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carlsbad Medical Center

Acute Care Hospitals · Carlsbad, NM
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number320063
Location2430 West Pierce StreetCarlsbad, NM 88220 · Eddy County
Emergency services Birthing friendly

University Medical Center

Acute Care Hospitals · Lubbock, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450686
Location602 Indiana AvenueLubbock, TX 79415 · Lubbock County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79415 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 4

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

Nurse Practitioner (Family)
3502 9TH ST STE 260
LUBBOCK, TX 79415
Dietitian, Registered
3502 9TH ST STE 260
LUBBOCK, TX 79415
Thoracic Surgery (Cardiothoracic Vascular Surgery)
3502 9TH ST STE 260
LUBBOCK, TX 79415
Specialist/Technologist, Other (Surgical Assistant)
3502 9TH ST STE 260
LUBBOCK, TX 79415

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 Kory Mitchell's NPI number?

The NPI number for Kory Mitchell is 1588735104. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Where is Kory Mitchell located?

Kory Mitchell practices at 3502 9th St Ste 260, Lubbock, TX 79415. The listed phone number is (806) 792-8185.

What is Kory Mitchell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Kory Mitchell enrolled in Medicare?

Yes. Kory 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 organization bills Medicare for Kory Mitchell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kory Mitchell reassigns Medicare benefits to Umc Physicians (Lubbock, TX). 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 Kory Mitchell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kory Mitchell accept?

Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare and WellPoint list Kory 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.

Is Kory Mitchell affiliated with any hospitals?

According to CMS data, Kory Mitchell is affiliated with Carlsbad Medical Center and University Medical Center.

When was this NPI record last updated?

The NPPES record for Kory Mitchell was last updated on August 29, 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.