KELLY MITCHELL (PA-C) – Physician Assistant, NPI 1477002913

KELLY MITCHELL (PA-C) is a healthcare provider. based in Cheshire, Connecticut. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 3681 (CT). The NPI Number for KELLY MITCHELL (PA-C) is 1477002913

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
KELLY MITCHELL (PA-C)
NPI
1477002913
Phone
(203) 271-3063
Address
335 HIGHLAND AVE
Enumeration Date
26 September 2016
Last Update Date
22 November 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8607385814
Graduation Year
2016 (10 years ago)
PAC ID
2163702226
Group Practice PAC ID
1355246950
Professional Enrollment ID
I20161206002247
Address ID
CT060981140WI115XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

3,243 PHYSICIAN ASSISTANT in CT

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Provider Addresses for KELLY MITCHELL (PA-C)

  • 335, Highland Avenue, Cheshire, New Haven County, Connecticut, 06410, United States

    CHESHIRE, CT 064102549

    Phone: (203) 271-3063

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2016-12-06

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
I20161206002247IPhysician AssistantCTTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes11359$0
99213Established patient office or other outpatient visit, 20-29 minutes7955$0
80053Blood test, comprehensive group of blood chemicals6052$0
80061Blood test, lipids (cholesterol and triglycerides)5748$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count4945$0
View full utilization report →

Insurance plans in this area (ZIP 06410)

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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: 1355246950View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for KELLY MITCHELL (PA-C)?
KELLY MITCHELL (PA-C) — NPI 1477002913 — is the standard way to identify this listing.
Is KELLY MITCHELL (PA-C) still practicing?
KELLY MITCHELL (PA-C) is currently listed as active in the public NPI registry.
What is KELLY MITCHELL (PA-C)'s specialty?
The listing groups KELLY MITCHELL (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for KELLY MITCHELL (PA-C)?
KELLY MITCHELL (PA-C)'s geographic hint is Cheshire, Connecticut in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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