MACKEL MITCHELL (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1720791874

Psychiatric/Mental Health Nurse Practitioner

MACKEL MITCHELL (APRN) is a healthcare provider. based in Jacksonville, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. APRN11023780 (FL). The NPI Number for MACKEL MITCHELL (APRN) is 1720791874

Main info

Female

4 Years Of Experience

Accepts Medicare Assignment

Name

MACKEL MITCHELL (APRN)

NPI

1720791874

Phone

Not provided

Address

2080 CHILD ST

Enumeration Date

4 January 2023

Last Update Date

5 January 2023

Doctor Profile

Medical School Name

OTHER

Secondary Phone

2563742468

Graduation Year

2022 (4 years ago)

PAC ID

9638536584

Group Practice PAC ID

0143631226

Professional Enrollment ID

I20230607002813

Address ID

FL323124277TA9292XDRXX400

Telehealth

Yes

Contacts

Secure Messaging

mackel.a.mitchell.ctr@health.mil

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience30

Completeness85

Years active:3State licenses:1Other namesUpdated within 12 months

24,243 NURSE PRACTITIONER in FL

Provider Addresses for MACKEL MITCHELL (APRN)

2080 CHILD ST
JACKSONVILLE, FL 322145005
Phone:
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: 2023-06-07

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

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20230607002813	I	Nurse Practitioner	FL	TBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32214)

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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: 0143631226View full group profile

Name	Specialty	State
KIM MCQUEEN DURRANT (MSN PMHNP-BC)	Nurse Practitioner	FL
VALTINA LAWSON	Nurse Practitioner	FL
MARIE MYRICK (APRN PMHNP-BC)	Nurse Practitioner	FL
ELIZABETH ANN JANDURA (APRN, PMHNP-BC)	Nurse Practitioner	FL

Reviews

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Frequently asked questions

Does MACKEL MITCHELL (APRN) have a public NPI I can cite?

Public records show MACKEL MITCHELL (APRN) under NPI 1720791874.

Is MACKEL MITCHELL (APRN)'s NPI status active today?

Active status means MACKEL MITCHELL (APRN)'s NPI record is not deactivated in the public file.

What type of care does MACKEL MITCHELL (APRN) provide?

MACKEL MITCHELL (APRN)'s profile centers on Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.

Which community is linked to MACKEL MITCHELL (APRN)?

MACKEL MITCHELL (APRN) shows a connection to Jacksonville, Florida in registry-derived data.

Can I export MACKEL MITCHELL (APRN)'s record?

You can download the official NPPES record; we summarize key fields for readability.