JORDAN MARIE MITCHELL (NP-C) – Family Nurse Practitioner, NPI 1609320126

JORDAN MARIE MITCHELL (NP-C) is a healthcare provider. based in Buhl, Idaho. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. 53951 (ID). The NPI Number for JORDAN MARIE MITCHELL (NP-C) is 1609320126

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
JORDAN MARIE MITCHELL (NP-C)
NPI
1609320126
Phone
(208) 814-8000
Address
529 BROADWAY AVE S
Enumeration Date
12 August 2016
Last Update Date
4 January 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2088148000
Graduation Year
2014 (12 years ago)
PAC ID
9335437987
Group Practice PAC ID
1052217478
Professional Enrollment ID
I20161013001745
Address ID
ID833161849BU980XXAVEX300
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

1,802 NURSE PRACTITIONER in ID

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Provider Addresses for JORDAN MARIE MITCHELL (NP-C)

  • Broadway Avenue South, Buhl, Twin Falls County, Idaho, 83316, United States

    BUHL, ID 833161312

    Phone: (208) 814-8000

    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: 2016-10-13

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
I20161013001745INurse PractitionerIDTBD

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 minutes304107$0
99213Established patient office or other outpatient visit, 20-29 minutes5242$0
99215Established patient office or other outpatient visit, 40-54 minutes1713$0
View full utilization report →

Insurance plans in this area (ZIP 83316)

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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: 1052217478View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)VA
Certified Registered Nurse Anesthetist (Crna)ID
Clinical PsychologistND
A N E S T H E S I O L O G YID
-UT
Diagnostic RadiologyOR
Physician AssistantID
Family PracticeID
O B S T E T R I C S/ G Y N E C O L O G YID
Nurse PractitionerID

Reviews

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Frequently asked questions

How do I look up JORDAN MARIE MITCHELL (NP-C) by NPI?
Use NPI 1609320126 when you need to reference JORDAN MARIE MITCHELL (NP-C) in forms, claims, or directories.
Is JORDAN MARIE MITCHELL (NP-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is JORDAN MARIE MITCHELL (NP-C)?
The page reflects Family Nurse Practitioner for JORDAN MARIE MITCHELL (NP-C). Clinical services aligned with this taxonomy classification.
Where does public data place JORDAN MARIE MITCHELL (NP-C)?
The snapshot lists Buhl, Idaho for JORDAN MARIE MITCHELL (NP-C); download NPPES for the complete set.
How can I contact JORDAN MARIE MITCHELL (NP-C)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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