MRS. NICOLE AMANDA MITCHELL CRNP
NPI 1639474059
Nurse Practitioner - Family in Silver Spring, MD
About Mrs. Nicole Amanda Mitchell Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. NICOLE AMANDA MITCHELL CRNP (NPI 1639474059) is an individual family provider in Silver Spring, Maryland, licensed in Maryland (R157573) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS, is affiliated with Medstar Montgomery Medical Center, and is a graduate of Other (2010).
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 and accepts Medicare assignment
Mrs. Nicole Amanda Mitchell Crnp 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.
Medicare Billing Reassignments
3Medicare enrollment records show Nicole Mitchell reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Silver Spring, MD 20904
- Reassigned Medicare billing, Maryland enrollment
- 39 clinicians in this Medicare group
Washington, DC 20010
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- Also billed through NPI 1376887844 (Maryland)
- 3,530 clinicians in this Medicare group
Rockville, MD 20854
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 168 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 2
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Medstar Montgomery Medical Center
Acute Care Hospitals · Olney, MDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20904 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SILVER SPRING, MD 20904
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 Nicole Mitchell's NPI number?
The NPI number for Nicole Mitchell is 1639474059. It was assigned to this individual provider in the NPPES registry on January 14, 2011.
Where is Nicole Mitchell located?
Nicole Mitchell practices at 12510 Prosperity Dr Ste 200, Silver Spring, MD 20904. The listed phone number is (240) 485-5210.
What is Nicole Mitchell's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Nicole Mitchell enrolled in Medicare?
Yes. Nicole 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 Nicole Mitchell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Mitchell reassigns Medicare benefits to 3 organizations: Capital Digestive Care, LLC (Silver Spring, MD), Medstar Medical Group II LLC (Washington, DC) and Minuteclinic LLC (Rockville, MD). 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 Nicole Mitchell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Nicole Mitchell affiliated with any hospitals?
According to CMS data, Nicole Mitchell is affiliated with Medstar Montgomery Medical Center.
When was this NPI record last updated?
The NPPES record for Nicole Mitchell was last updated on January 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Mrs. Nicole Amanda Mitchell, CRNP · NPI 1639474059
Family physician in Silver Spring, Maryland. Individual provider, active in the CMS NPPES registry since January 14, 2011.
## Identity
- **NPI:** 1639474059 (Entity type: Individual)
- **Enumerated:** January 14, 2011
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R157573 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 12510 PROSPERITY DR STE 200, Silver Spring, MD 20904-1640
- **Phone:** (240) 485-5210
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Capital Digestive Care, LLC (NPI 1790523249, Silver Spring, MD); Medstar Medical Group II LLC (NPI 1023836137, Washington, DC); Minuteclinic LLC (NPI 1134191836, Rockville, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** January 29, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1639474059) · Data from the CMS NPPES public registry.