SHASTA MITCHELL-HOLSTON FNP-C
NPI 1881004901
Nurse Practitioner - Family in Portsmouth, VA

Q: What is Shasta Mitchell-holston's NPI number?

The NPI number for Shasta Mitchell-holston is 1881004901. It was assigned to this individual provider in the NPPES registry on April 28, 2014. The provider is also known as Shasta Mitchell Np.

Q: What is Shasta Mitchell-holston's specialty?

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

Active since April 28, 2014PECOS EnrolledAccepts Medicare Assignment

3636 HIGH ST, PORTSMOUTH, VA 23707(757) 398-2285 Get Directions Write a Review

NPPES record last updated: September 5, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 5, 2018, Mar 22, 2016 (2 updates tracked since 2016).

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About Shasta Mitchell-holston Fnp-c NPPES

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

SHASTA MITCHELL-HOLSTON FNP-C (NPI 1881004901) is an individual family provider in Portsmouth, Virginia, licensed in Virginia (0024176097) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1881004901

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSHASTA MITCHELL-HOLSTONCredential: FNP-C

Location Address3636 HIGH STPortsmouth, VA 23707

Mailing Address36550 Chester Rd, 5404Avon, OH 44011-1091 · (216) 526-2214

Phone(757) 398-2285

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateApril 28, 2014

Last NPPES UpdateSeptember 5, 20182 updates tracked since enumeration

✔ NPI 1881004901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in VA · 0024176097

3636 HIGH ST, Portsmouth, VA 23707

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Other Names 1

Other Name (5)Shasta Mitchell Np

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shasta Mitchell-holston Fnp-c 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 ID7214151067

PECOS Enrollment IDI20181003000866

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23707 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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.

KRISTEN EVETTE BROWN CRNA, DNP

Nurse Anesthetist, Certified Registered