DR. JENNIFER LAURA MITCHELL (M.D.) – Otolaryngology Physician, NPI 1104110246

DR. JENNIFER LAURA MITCHELL (M.D.) is a healthcare provider. based in Wasilla, Alaska. specializing in OTOLARYNGOLOGY. They hold the professional credentials M.D.. They hold a License No. 125363 (AK). The NPI Number for DR. JENNIFER LAURA MITCHELL (M.D.) is 1104110246

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. JENNIFER LAURA MITCHELL (M.D.)
NPI
1104110246
Phone
(907) 333-2133
Address
3066 E MERIDIAN PARK LOOP STE 2
Enumeration Date
7 June 2011
Last Update Date
18 March 2026

Doctor Profile

Medical School Name
UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Secondary Phone
9076716017
Graduation Year
2011 (15 years ago)
PAC ID
4183843410
Group Practice PAC ID
6002238771
Professional Enrollment ID
I20190525000088
Address ID
AK995084691AN3340XDRXX302
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:15State licenses:1Digital endpointsOther names

31 OTOLARYNGOLOGY in AK

Provider Addresses for DR. JENNIFER LAURA MITCHELL (M.D.)

  • 3066 E MERIDIAN PARK LOOP STE 2

    WASILLA, AK 996547254

    Phone: (907) 333-2133

    Fax: (833) 450-5754

    Type: Mailing

  • 3340 Providence Dr # A363

    Anchorage, AK 995084691

    Phone: (907) 600-0030

    Fax: (907) 206-7153

    Type: Location

  • 3841 PIPER ST

    SUITE T-230

    ANCHORAGE, AK 99508

    Phone: (907) 279-8800

    Fax: (907) 279-8810

    Type: Mailing

  • PO BOX 75045

    CHICAGO, IL 606755045

    Phone: (907) 600-0030

    Fax: (907) 206-7153

    Type: Mailing

  • 3719 E MERIDIAN LOOP STE E

    WASILLA, AK 996547273

    Phone: (907) 600-0030

    Fax: (907) 206-7153

    Type: Location

  • 3750 E COUNTRY FIELD CIR STE B

    WASILLA, AK 996546659

    Phone: (907) 373-1410

    Fax: (907) 373-1411

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $1,723.

Total Amount is formed as General ($1,723) + Research ($0) + Ownership ($0) = $1,723.

Last reported payment date: 2024-06-02 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($1,481).

Total Amount

$1,723

General + Research + Ownership

Payments

13

Total payment records

General Amount

$1,723

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-02

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-05-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190525000088IOtolaryngologyAKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes202136$0
99203New patient office or other outpatient visit, 30-44 minutes188188$0
69210Removal of impacted ear wax7957$0
99442Telephone medical discussion with physician, 11-20 minutes3633$0
31575Diagnostic exam of voice box using a flexible endoscope3431$0
View full utilization report →

Insurance plans in this area (ZIP 99654)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002238771View full group profile
NameSpecialtyState
Plastic And Reconstructive Surgery, OtolaryngologyAK
O T O L A R Y N G O L O G YTX
Physician AssistantVA

Reviews

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Frequently asked questions

How do I look up DR. JENNIFER LAURA MITCHELL (M.D.) by NPI?
Use NPI 1104110246 when you need to reference DR. JENNIFER LAURA MITCHELL (M.D.) in forms, claims, or directories.
Is DR. JENNIFER LAURA MITCHELL (M.D.) currently active in the NPI registry?
CMS-published data lists DR. JENNIFER LAURA MITCHELL (M.D.) as an active registrant.
What field does DR. JENNIFER LAURA MITCHELL (M.D.) work in?
You can think of DR. JENNIFER LAURA MITCHELL (M.D.) as practicing within Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. JENNIFER LAURA MITCHELL (M.D.)?
The snapshot lists Wasilla, Alaska for DR. JENNIFER LAURA MITCHELL (M.D.); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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