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COURTNEY RAYNE MITCHELL CFNP
NPI 1811002785
Specialist in Brandon, MS

Active since August 20, 2006PECOS Enrolled
124 GRANDEUR DR, BRANDON, MS 39042(601) 824-3823 Get Directions Write a Review

NPPES record last updated: March 1, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Courtney Rayne Mitchell Cfnp NPPES

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

COURTNEY RAYNE MITCHELL CFNP (NPI 1811002785) is an individual specialist in Brandon, Mississippi, licensed in Mississippi (R852899) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811002785
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameCOURTNEY RAYNE MITCHELLCredential: CFNP
Location Address124 GRANDEUR DRBrandon, MS 39042-5015
Mailing Address124 Grandeur DrBrandon, MS 39042-5015 · (601) 824-3823
Phone(601) 824-3823
Sole ProprietorNo
Enumeration DateAugust 20, 2006
Last NPPES UpdateMarch 1, 2016
✔ NPI 1811002785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MS · R852899
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
124 GRANDEUR DR, Brandon, MS 39042
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Other Identifiers 4

Medicare PIN50002224MS
Medicare UPINQ72663MS
OtherR852899MS · Cfnp Certificate Number
Medicaid08484019MS

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Courtney Rayne Mitchell Cfnp 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.

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 Courtney Mitchell's NPI number?

The NPI number for Courtney Mitchell is 1811002785. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Where is Courtney Mitchell located?

Courtney Mitchell practices at 124 Grandeur Dr, Brandon, MS 39042. The listed phone number is (601) 824-3823.

What is Courtney Mitchell's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Courtney Mitchell enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Courtney Mitchell was last updated on March 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.