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MR. MARK EDWARD MITCHELL M.D.
NPI 1689634479
Family Medicine in Ketchikan, AK

Active since March 24, 2006PECOS Enrolled
2960 TONGASS AVENUE, KETCHIKAN, AK 99901(907) 228-4900(800) 852-3264 Get Directions Write a Review

NPPES record last updated: July 1, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Mark Edward Mitchell M.d. NPPES

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

MR. MARK EDWARD MITCHELL M.D. (NPI 1689634479) is an individual family medicine provider in Ketchikan, Alaska, licensed in Utah (2681761205) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689634479
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMR. MARK EDWARD MITCHELLCredential: M.D.
Location Address2960 TONGASS AVENUEKetchikan, AK 99901-5742
Mailing Address2960 Tongass AvenueKetchikan, AK 99901-5742 · (907) 228-4900 · Fax (800) 852-3264
Phone(907) 228-4900
Fax(800) 852-3264
Sole ProprietorNo
Enumeration DateMarch 24, 2006
Last NPPES UpdateJuly 1, 2016
✔ NPI 1689634479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in UT · 2681761205
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2960 TONGASS AVENUE, Ketchikan, AK 99901
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Other Identifiers 7

Medicaid52588084NM
Medicare UPINF72986UT
MedicaidD0289UT
Medicare PIN8HK297
Medicaid314804AZ
Medicaid82071365CO
Medicare ID-Type Unspecified006486015UT

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Mark Edward Mitchell M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

4

Medicare enrollment records show Mark Mitchell reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ketchikan Indian Corporation
Same address
Primary Care
2960 TONGASS AVE, BUSINESS OFFICE
Ketchikan, AK 99901
  • Reassigned Medicare billing, Texas enrollment
  • 33 clinicians in this Medicare group
NPI 1821120486 (907) 228-9200
Affordable Emergency Medicine Solutions Ltd
1,248 mi
Urgent Care
250 COUNTRY CLUB PKWY
Spring Creek, NV 89815
  • Reassigned Medicare billing, Nevada enrollment
  • Medicare enrollment name: Aems
  • 6 clinicians in this Medicare group
NPI 1093239626 (775) 750-7159
Dhhs, Phs, Naihs, Shiprock Hospital
1,656 mi
General Acute Care Hospital
US HWY 160 & NAVAJO ROUTE 35 - RED MESA
Teecnospos, AZ 86514
  • Reassigned Medicare billing, Texas enrollment
  • 572 clinicians in this Medicare group
NPI 1477615789 (505) 368-6401
Cherokee Nation
2,116 mi
Multi-Specialty
395200 W 2900 RD
Ochelata, OK 74051
  • Reassigned Medicare billing, Texas enrollment
  • 1,047 clinicians in this Medicare group
NPI 1871972430 (918) 535-6000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99901 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
$111.57 typical visit price
range $71.33 – $222.64
Typical copayment $27.89 (range $17.83 – $55.66)
Most-billed visit code 99203
Established Patient
$128.73 typical visit price
range $21.84 – $181.48
Typical copayment $32.18 (range $5.46 – $45.37)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$107.35 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

TANYA IVANIVNA HALLGREN M.ED., LPC
Counselor
2960 TONGASS AVENUE, FIRST FLOOR KETCHIKAN INDIAN COMMUNITY TRIBAL HEALTH CL
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 228-4917
MR. ERIC DAVID NANCE DDS
Dentist
2960 TONGASS AVENUE
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 228-9200
MR. TIMOTHY MARTIN BRINKER PA-C
Physician Assistant
2960 TONGASS AVENUE
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 228-4900

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 Mark Mitchell's NPI number?

The NPI number for Mark Mitchell is 1689634479. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is Mark Mitchell located?

Mark Mitchell practices at 2960 Tongass Avenue, Ketchikan, AK 99901. The listed phone number is (907) 228-4900.

What is Mark Mitchell's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mark Mitchell enrolled in Medicare?

Yes. Mark Mitchell is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mark Mitchell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Mitchell reassigns Medicare benefits to 4 organizations: Ketchikan Indian Corporation (Ketchikan, AK), Affordable Emergency Medicine Solutions Ltd (Spring Creek, NV), Dhhs, Phs, Naihs, Shiprock Hospital (Teecnospos, AZ) and Cherokee Nation (Ochelata, OK). 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 Mark Mitchell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mark Mitchell was last updated on July 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.