CARSON WILES MITCHELL
NPI 1962364984
Nurse Practitioner - Family in Winter Haven, FL
About Carson Wiles Mitchell NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARSON WILES MITCHELL (NPI 1962364984) is an individual family provider in Winter Haven, Florida, licensed in Florida (APRN11042691) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
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
Carson Wiles 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.
Medicare Billing Reassignment
Medicare enrollment records show Carson Mitchell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Winter Haven, FL 33880
- Reassigned Medicare billing, Florida enrollment
- 15 clinicians in this Medicare group
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 33880 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Carson Mitchell's NPI number?
The NPI number for Carson Mitchell is 1962364984. It was assigned to this individual provider in the NPPES registry on November 27, 2025.
Where is Carson Mitchell located?
Carson Mitchell practices at 1450 6th St SE, Winter Haven, FL 33880. The listed phone number is (863) 293-2147.
What is Carson Mitchell's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Carson Mitchell enrolled in Medicare?
Yes. Carson 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 organization bills Medicare for Carson Mitchell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carson Mitchell reassigns Medicare benefits to K Wade Foster MD PA (Winter Haven, FL). The 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 Carson 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 Carson Mitchell was last updated on November 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Carson Wiles Mitchell · NPI 1962364984
Family physician in Winter Haven, Florida. Individual provider, active in the CMS NPPES registry since November 27, 2025.
## Identity
- **NPI:** 1962364984 (Entity type: Individual)
- **Enumerated:** November 27, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APRN11042691 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 1450 6TH ST SE, Winter Haven, FL 33880-4505
- **Phone:** (863) 293-2147
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** K Wade Foster MD PA (NPI 1205066404, Winter Haven, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** November 27, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1962364984) · Data from the CMS NPPES public registry.