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KENNETH ALLEN MITCHELL PA-C
NPI 1922096379
Physician Assistant in Woodbury, MN

Active since October 10, 2005PECOS Enrolled
6025 LAKE RD, SUITE 200, WOODBURY, MN 55125(651) 999-6800(651) 999-6830 Get Directions Write a Review

NPPES record last updated: April 5, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kenneth Allen Mitchell Pa-c NPPES

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

KENNETH ALLEN MITCHELL PA-C (NPI 1922096379) is an individual physician assistant in Woodbury, Minnesota, licensed in Arkansas (PA970) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922096379
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKENNETH ALLEN MITCHELLCredential: PA-C
Location Address6025 LAKE RD, SUITE 200Woodbury, MN 55125-1712
Mailing Address1300 Centerview DrLittle Rock, AR 72211-4349 · (501) 219-8900 · Fax (501) 410-1148
Phone(651) 999-6800
Fax(651) 999-6830
Sole ProprietorNo
Enumeration DateOctober 10, 2005
Last NPPES UpdateApril 5, 2021
NPPES CertifiedApril 5, 2021
✔ NPI 1922096379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in AR · PA970✔ Licensed in MN · 10025
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
6025 LAKE RD, Woodbury, MN 55125
Open in Google Maps ↗

Other Identifiers 1

Medicaid534141800MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenneth Allen Mitchell Pa-c 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.

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
17 services17 patients
Placement of hormone pellet under skin 11980
The placement of a hormone pellet under the skin is a simple procedure. A small pellet is inserted under the skin, usually in the hip area. This pellet slowly releases hormones into your body to help balance hormone levels. It's a safe, effective way to manage hormone-related conditions.
14 services13 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
13 services11 patients
Unclassified drugs J3490
Unclassified drugs are medications that don't fit into an existing category or class due to their unique properties or uses. They may be used for various conditions and their effects may differ widely. Always ask your healthcare provider for more information about these drugs.
13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55125 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
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.

DR. SAMUEL BRANCH KIELEY M.D.
Urology
6025 LAKE RD, SUITE 200
WOODBURY, MN 55125
Washington County (651) 999-6800
MS. MARY KATHLEEN DELACY PT
Physical Therapist
6025 LAKE RD
WOODBURY, MN 55125
Washington County (612) 439-4222
KAREN LOUISE MARTIN CNS, APRN-BC
Clinical Nurse Specialist
6025 LAKE RD, SUITE 200
WOODBURY, MN 55125
Washington County (651) 999-6800
JOHN F SCHWERKOSKE M.D.
Internal Medicine (Hematology & Oncology)
6025 LAKE RD, STE 110
WOODBURY, MN 55125
Washington County (651) 735-7414
ANNA M LEININGER MS, CGC
Genetic Counselor, MS
6025 LAKE RD
WOODBURY, MN 55125
Washington County (651) 999-8977
DR. BASIR U TAREEN MD
Urology
6025 LAKE RD, SUITE 200
WOODBURY, MN 55125
Washington County (651) 999-6800
DR. DAVID NATHAN PRALL M.D.
Urology
6025 LAKE RD, SUITE 200
WOODBURY, MN 55125
Washington County (651) 999-6800
AARON JEREMY MILBANK M.D.
Urology
6025 LAKE RD, SUITE 200
WOODBURY, MN 55125
Washington County (651) 999-6800

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 Kenneth Mitchell's NPI number?

The NPI number for Kenneth Mitchell is 1922096379. It was assigned to this individual provider in the NPPES registry on October 10, 2005.

Where is Kenneth Mitchell located?

Kenneth Mitchell practices at 6025 Lake Rd Suite 200, Woodbury, MN 55125. The listed phone number is (651) 999-6800.

What is Kenneth Mitchell's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kenneth Mitchell enrolled in Medicare?

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

What insurance does Kenneth Mitchell accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Kenneth Mitchell 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 Kenneth Mitchell was last updated on April 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.