DR. JOHN CHARLES MITCHELL (D.O.) – Psychiatry Physician, NPI 1043308455

DR. JOHN CHARLES MITCHELL (D.O.) is a healthcare provider. based in Port huron, Michigan. specializing in PSYCHIATRY. They hold the professional credentials D.O.. They hold a License No. 5101013191 (MI). The NPI Number for DR. JOHN CHARLES MITCHELL (D.O.) is 1043308455

Main info

Male
Sole Proprietor
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN CHARLES MITCHELL (D.O.)
NPI
1043308455
Phone
(810) 984-5156
Address
1209 RICHARDSON ST
Enumeration Date
11 October 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Secondary Phone
81098791005002
Graduation Year
1996 (30 years ago)
PAC ID
3779765656
Group Practice PAC ID
0042450553
Professional Enrollment ID
I20110314000886
Address ID
MI480606546PO2601XSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,213 PSYCHIATRY in MI

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Provider Addresses for DR. JOHN CHARLES MITCHELL (D.O.)

  • 1209, Richardson Street, Port Huron, Saint Clair County, Michigan, 48060, United States

    PORT HURON, MI 480603548

    Phone: (810) 984-5156

    Fax: (810) 984-5228

    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)

CMS reports 9 Open Payments records for all available years, with a total value of $183.

Total Amount is formed as General ($183) + Research ($0) + Ownership ($0) = $183.

Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($51).

Total Amount

$183

General + Research + Ownership

Payments

9

Total payment records

General Amount

$183

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-30

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: 2011-03-14

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
I20110314000886IPsychiatryMITBD

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 minutes289109$0
96372Injection of drug or substance under skin or into muscle17820$0
99212Established patient office or other outpatient visit, 10-19 minutes10770$0
View full utilization report →

Insurance plans in this area (ZIP 48060)

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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: 0042450553View full group profile

Reviews

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Frequently asked questions

Does DR. JOHN CHARLES MITCHELL (D.O.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. JOHN CHARLES MITCHELL (D.O.) uses 1043308455.
Can I rely on DR. JOHN CHARLES MITCHELL (D.O.) being an active provider?
As of the registry snapshot, DR. JOHN CHARLES MITCHELL (D.O.) is marked active.
What healthcare role does DR. JOHN CHARLES MITCHELL (D.O.) hold?
Scheduling teams often label DR. JOHN CHARLES MITCHELL (D.O.) under Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What area does DR. JOHN CHARLES MITCHELL (D.O.) serve?
DR. JOHN CHARLES MITCHELL (D.O.)'s listing highlights Port Huron, Michigan; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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