CARSON WILES MITCHELL
NPI 1962364984
Nurse Practitioner - Family in Winter Haven, FL

Q: 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.

Q: What is Carson Mitchell's specialty?

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

Q: 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 8 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.

Active since November 27, 2025PECOS Enrolled

1450 6TH ST SE, WINTER HAVEN, FL 33880(863) 293-2147 Get Directions Write a Review

NPPES record last updated: November 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

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

NPI1962364984

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameCARSON WILES MITCHELL

Location Address1450 6TH ST SEWinter Haven, FL 33880-4505

Mailing Address1450 6th St SeWinter Haven, FL 33880-4505

Phone(863) 293-2147

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateNovember 27, 2025

NPPES CertifiedNovember 27, 2025

✔ NPI 1962364984 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 FL · APRN11042691

1450 6TH ST SE, Winter Haven, FL 33880

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carson Wiles Mitchell is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5799271391

PECOS Enrollment IDI20260105000132

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 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.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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 7

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

LEAH RAE SYLVESTER MCMSC, PA-C

Physician Assistant