WISTER MITCHELSON
NPI 1659046720
Counselor - Professional in Stanardsville, VA

Active since August 11, 2021PECOS EnrolledAccepts Medicare Assignment
78 MAIN ST, STANARDSVILLE, VA 22973(434) 260-4869 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Wister Mitchelson NPPES

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

WISTER MITCHELSON (NPI 1659046720) is an individual professional provider in Stanardsville, Virginia, licensed in Virginia (0701010642) and active in the NPI registry since August 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1659046720
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameWISTER MITCHELSON
Location Address78 MAIN STStanardsville, VA 22973-2297
Mailing Address78 Main StStanardsville, VA 22973 · (434) 260-4869
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 11, 2021
Last NPPES UpdateApril 29, 2025
NPPES CertifiedApril 21, 2025
✔ NPI 1659046720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in VA · 0701010642
78 MAIN ST, Stanardsville, VA 22973

Other Identifiers 1

Medicaid0701010642VA

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

Wister Mitchelson 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 ID4880047570
PECOS Enrollment IDI20240130000663
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 Wister Mitchelson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
800 SHENANDOAH AVENUE, SUITE 170
Elkton, VA 22827
  • Reassigned Medicare billing, Virginia enrollment
  • Also billed through NPI 1871775882 (Virginia)
  • 37 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.

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 Wister Mitchelson's NPI number?

The NPI number for Wister Mitchelson is 1659046720. It was assigned to this individual provider in the NPPES registry on August 11, 2021.

Where is Wister Mitchelson located?

Wister Mitchelson practices at 78 Main St, Stanardsville, VA 22973. The listed phone number is (434) 260-4869.

What is Wister Mitchelson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Wister Mitchelson enrolled in Medicare?

Yes. Wister Mitchelson 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 Wister Mitchelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wister Mitchelson reassigns Medicare benefits to Harrisonburg Community Health Center (Elkton, VA). 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 Wister Mitchelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Wister Mitchelson accept?

Health plans from Oscar Health and UnitedHealthcare list Wister Mitchelson 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 Wister Mitchelson was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.