MR. MITCHELL DON SR. BRIMAGE (PMHNP-BC) – Registered Nurse, NPI 1073671996

MR. MITCHELL DON SR. BRIMAGE (PMHNP-BC) is a healthcare provider. based in Avila beach, California. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. 95019766 (CA). The NPI Number for MR. MITCHELL DON SR. BRIMAGE (PMHNP-BC) is 1073671996

Main info

Male
Sole Proprietor
5 Years Of Experience
Name
MR. MITCHELL DON SR. BRIMAGE (PMHNP-BC)
NPI
1073671996
Phone
(805) 459-8232
Address
661 BAY LAUREL PLACE
Enumeration Date
4 December 2006
Last Update Date
6 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8054591374
Graduation Year
2021 (5 years ago)
PAC ID
7113304809
Professional Enrollment ID
I20220518002551
Address ID
CA934243504AV6613XPLXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for MR. MITCHELL DON SR. BRIMAGE (PMHNP-BC)

  • 661 BAY LAUREL PLACE

    SUITE 3B

    AVILA BEACH, CA 93424

    Phone: (805) 459-8232

    Type: Location

  • 2178, Johnson Avenue, San Luis Obispo, San Luis Obispo County, California, 93410, United States

    SAN LUIS OBISPO, CA 934014535

    Phone: (805) 781-4711

    Fax: (805) 781-1272

    Type: Location

  • Ella Street, San Luis Obispo, San Luis Obispo County, California, 93401, United States

    SAN LUIS OBISPO, CA 934014147

    Phone: (805) 441-3611

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $849.

Total Amount is formed as General ($849) + Research ($0) + Ownership ($0) = $849.

Last reported payment date: 2024-02-21 • Largest payer in this snapshot: ABBVIE INC. ($228).

Total Amount

$849

General + Research + Ownership

Payments

9

Total payment records

General Amount

$849

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-21

Latest reported date

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: 2022-05-18

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
I20220518002551INurse PractitionerCATBD

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 minutes88373$0
90833Psychotherapy with evaluation and management visit, 30 minutes78369$0
90836Psychotherapy with evaluation and management visit, 45 minutes10457$0
90792Psychiatric diagnostic evaluation with medical services4646$0
View full utilization report →

Insurance plans in this area (ZIP 93424)

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Reviews

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Frequently asked questions

What is the standard ID for MR. MITCHELL DON SR. BRIMAGE (PMHNP-BC) in the U.S.?
In the U.S., MR. MITCHELL DON SR. BRIMAGE (PMHNP-BC) is identified by NPI 1073671996.
Quick check: is MR. MITCHELL DON SR. BRIMAGE (PMHNP-BC) active?
Public NPPES data shows MR. MITCHELL DON SR. BRIMAGE (PMHNP-BC) with an active NPI status right now.
What services align with MR. MITCHELL DON SR. BRIMAGE (PMHNP-BC)'s listing?
MR. MITCHELL DON SR. BRIMAGE (PMHNP-BC)'s public classification highlights Registered Nurse. Clinical services aligned with this taxonomy classification.
Is MR. MITCHELL DON SR. BRIMAGE (PMHNP-BC) tied to Avila Beach, California?
If you are local to Avila Beach, California, MR. MITCHELL DON SR. BRIMAGE (PMHNP-BC) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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