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KIMBERLY J MITCHELL
NPI 1700350170
Nurse Practitioner - Family in East Saint Louis, IL

Active since January 18, 2019PECOS EnrolledAccepts Medicare Assignment
2420 STATE ST, EAST SAINT LOUIS, IL 62205(618) 318-8809(618) 615-4205 Get Directions Write a Review

NPPES record last updated: June 6, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 6, 2025, Apr 18, 2022, Mar 8, 2022 and 2 more (5 updates tracked since 2019).

About Kimberly J Mitchell NPPES

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

KIMBERLY J MITCHELL (NPI 1700350170) is an individual family provider in East Saint Louis, Illinois, licensed in Illinois (209.018150) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS, is affiliated with Hshs St Elizabeth's Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1700350170
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIMBERLY J MITCHELL
Location Address2420 STATE STEast Saint Louis, IL 62205-2321
Mailing AddressPo Box 746715Atlanta, GA 30374-6715 · (773) 352-1515 · Fax (312) 929-0373
Phone(618) 318-8809
Fax(618) 615-4205
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 18, 2019
Last NPPES UpdateJune 6, 20255 updates tracked since enumeration
NPPES CertifiedJune 6, 2025
✔ NPI 1700350170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209.018150
Also ListedNurse PractitionerTaxonomy 363L00000X · License 209018150 (IL)
2420 STATE ST, East Saint Louis, IL 62205
Open in Google Maps ↗

Secondary Practice Locations 4

Location 14625 Lindell Blvd Ste 200Saint Louis, MO 63108-3725 · Phone (866) 949-0108
Location 21 Westbrook Corporate Ctr Ste 300Westchester, IL 60154-5709 · Phone (866) 949-0108
Location 33354 Jerome LnCahokia, IL 62206-2604 · Phone (618) 484-7850
Location 45 Kennedy DrGranite City, IL 62040 · Phone (618) 504-0908

Other Identifiers 2

Other209.018150IL · .
Other2019026962MO · State License Mo

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

Kimberly J Mitchell 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 ID6507293792
PECOS Enrollment IDI20200330001071
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 Kimberly Mitchell reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Osh-Il Physicians Group LLC
Same address
Primary Care
2420 STATE ST
East Saint Louis, IL 62205
  • Reassigned Medicare billing, Illinois enrollment
  • 35 clinicians in this Medicare group
NPI 1265977698 (618) 318-8809
Oak Street Health Physicians Group Of Missouri, LLC
8.3 mi
Primary Care
3451 UNION BLVD
Saint Louis, MO 63115
  • Reassigned Medicare billing, Missouri enrollment
  • 33 clinicians in this Medicare group
NPI 1669041760 (312) 733-9730
Karefirst Missouri PC
28 mi
Nurse Practitioner
230 SPENCER RD
Saint Peters, MO 63376
  • Reassigned Medicare billing, Missouri enrollment
  • 24 clinicians in this Medicare group
NPI 1942658943 (847) 235-6130
Midwest Post Acute Care PLLC
264 mi
Nurse Practitioner
3000 N HALSTED ST STE 803
Chicago, IL 60657
  • Reassigned Medicare billing, Illinois and Indiana enrollments
  • 129 clinicians in this Medicare group
NPI 1083012074 (888) 705-8722

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 4

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 straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
35 services26 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
23 services23 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.
16 services16 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
15 services14 patients

Hospital Affiliations CMS Care Compare

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

Hshs St Elizabeth's Hospital

Acute Care Hospitals · O Fallon, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140187
LocationOne St Elizabeth BoulevardO Fallon, IL 62269 · St. Clair County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62205 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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 6

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

MRS. DONNA MARIE AVERY NP
Nurse Practitioner (Family)
2420 STATE ST
EAST SAINT LOUIS, IL 62205
St. Clair County (618) 318-8809
OSH-IL PHYSICIANS GROUP LLC
Clinic/Center (Primary Care)
2420 STATE ST
EAST SAINT LOUIS, IL 62205
St. Clair County (618) 318-8809
TERICA MEEKS NP
Nurse Practitioner (Gerontology)
2420 STATE ST
EAST SAINT LOUIS, IL 62205
St. Clair County (618) 318-8809
MS. ERIN BRIGID ALCAZAR FNP
Nurse Practitioner (Family)
2420 STATE ST
EAST SAINT LOUIS, IL 62205
St. Clair County (618) 318-8809
MRS. TIFFANY REED TATE-WOODARD AGNP
Nurse Practitioner (Gerontology)
2420 STATE ST
EAST SAINT LOUIS, IL 62205
St. Clair County (618) 318-8809
MS. ALICIA MICHELLE COLLIER
Counselor (Professional)
2420 STATE ST
EAST SAINT LOUIS, IL 62205
St. Clair County (618) 318-8809

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 Kimberly Mitchell's NPI number?

The NPI number for Kimberly Mitchell is 1700350170. It was assigned to this individual provider in the NPPES registry on January 18, 2019.

Where is Kimberly Mitchell located?

Kimberly Mitchell practices at 2420 State St, East Saint Louis, IL 62205. The listed phone number is (618) 318-8809.

What is Kimberly Mitchell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kimberly Mitchell enrolled in Medicare?

Yes. Kimberly 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 Kimberly Mitchell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Mitchell reassigns Medicare benefits to 4 organizations: Osh-Il Physicians Group LLC (East Saint Louis, IL), Oak Street Health Physicians Group Of Missouri, LLC (Saint Louis, MO), Karefirst Missouri PC (Saint Peters, MO) and Midwest Post Acute Care PLLC (Chicago, IL). 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 Kimberly Mitchell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kimberly Mitchell affiliated with any hospitals?

According to CMS data, Kimberly Mitchell is affiliated with Hshs St Elizabeth's Hospital.

When was this NPI record last updated?

The NPPES record for Kimberly Mitchell was last updated on June 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.