MR. ROBERT EDWARD MITCHELL III APRN
NPI 1639768815
Nurse Practitioner in Columbia, SC

Q: What is Robert Mitchell's NPI number?

The NPI number for Robert Mitchell is 1639768815. It was assigned to this individual provider in the NPPES registry on January 13, 2021.

Q: What is Robert 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 Robert Mitchell was last updated on May 7, 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.

Active since January 13, 2021PECOS EnrolledAccepts Medicare Assignment

111 DOCTOR CIR, COLUMBIA, SC 29203(800) 491-0909 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 7, 2024, Nov 4, 2022, Mar 16, 2021 and 1 more (4 updates tracked since 2021).

On this page

About Mr. Robert Edward Mitchell Iii Aprn NPPES

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

MR. ROBERT EDWARD MITCHELL III APRN (NPI 1639768815) is an individual nurse practitioner in Columbia, South Carolina, licensed in South Carolina (24509) and active in the NPI registry since January 2021. He is enrolled in Medicare PECOS, is affiliated with Trident Medical Center, and maintains a secondary practice location in Charleston.

NPPES Registry Identity

NPI1639768815

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameMR. ROBERT EDWARD MITCHELL IIICredential: APRN

Location Address111 DOCTOR CIRColumbia, SC 29203-6502

Mailing Address111 Doctor CirColumbia, SC 29203-6502 · (800) 491-0909

Phone(800) 491-0909

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateJanuary 13, 2021

Last NPPES UpdateMay 7, 20244 updates tracked since enumeration

NPPES CertifiedMay 7, 2024

✔ NPI 1639768815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in SC · 24509

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.

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 24509 (SC)

111 DOCTOR CIR, Columbia, SC 29203

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Secondary Practice Location 1

Location 19330 Medical Plaza DrCharleston, SC 29406-9104 · Phone (843) 847-3225 · Fax (843) 847-3247

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.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

Mr. Robert Edward Mitchell Iii 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 ID5890100333

PECOS Enrollment IDI20210216001999

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 Robert Mitchell reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sc House Calls Inc

Same address

Family Medicine

111 DOCTOR CIR
Columbia, SC 29203

Reassigned Medicare billing, South Carolina enrollment
631 clinicians in this Medicare group

NPI 1518048859 (800) 491-0909

Coastal Inpatient Physicians, LLC

91 mi

Internal Medicine

9330 MEDICAL PLAZA DR
Charleston, SC 29406

Reassigned Medicare billing, South Carolina enrollment
17 clinicians in this Medicare group

NPI 1215043872 (843) 847-3225

Southeastern Hospitalist Services PC

129 mi

Hospitalist

809 82ND PKWY
Myrtle Beach, SC 29572

Reassigned Medicare billing, South Carolina enrollment
529 clinicians in this Medicare group

NPI 1003280108 (843) 692-1000

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 5

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 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.

338 services205 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

105 services80 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

42 services42 patients

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.

19 services18 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.

14 services14 patients

Hospital Affiliations CMS Care Compare

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

Trident Medical Center

Acute Care Hospitals · Charleston, SC

3/5 CMS rating

OwnershipProprietary

CMS Certification Number420079

Location9330 Medical Plaza DrCharleston, SC 29406 · Charleston County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29203 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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.

LAKETA D RILEY APRN

Nurse Practitioner (Psychiatric/Mental Health)