ANGELA MITCHELL (OTR/L) – Occupational Therapist, NPI 1174989263

ANGELA MITCHELL (OTR/L) is a healthcare provider. based in Omaha, Nebraska. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OTR/L. They hold a License No. 2366 (IA). The NPI Number for ANGELA MITCHELL (OTR/L) is 1174989263

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
ANGELA MITCHELL (OTR/L)
NPI
1174989263
Phone
Not provided
Address
11909 MIRACLE HILLS DR
Enumeration Date
6 January 2016
Last Update Date
29 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4028198477
Graduation Year
2013 (13 years ago)
PAC ID
2961708474
Group Practice PAC ID
5991988693
Professional Enrollment ID
I20160309002402
Address ID
NE681241717OM7686XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:10State licenses:2Digital endpointsOther names

230 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in NE

Provider Addresses for ANGELA MITCHELL (OTR/L)

  • 11909 MIRACLE HILLS DR

    OMAHA, NE 681544408

    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: 2016-03-09

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
I20160309002402IOccupational Therapist In Private PracticeNETBD

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 68154)

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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: 5991988693View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIA
Physical Therapist In Private PracticeNE
Physical Therapist In Private PracticeNE
Occupational Therapist In Private PracticeNE
-IA
Physical Therapist In Private PracticeNE
Occupational Therapist In Private PracticeNE
Occupational Therapist In Private PracticeNE
Qualified Speech Language PathologistNE
Occupational Therapist In Private PracticeNE

Reviews

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Frequently asked questions

How is ANGELA MITCHELL (OTR/L) identified in CMS data?
CMS-hosted NPPES data lists ANGELA MITCHELL (OTR/L) with NPI 1174989263.
Can I rely on ANGELA MITCHELL (OTR/L) being an active provider?
As of the registry snapshot, ANGELA MITCHELL (OTR/L) is marked active.
What is ANGELA MITCHELL (OTR/L)'s specialty?
The listing groups ANGELA MITCHELL (OTR/L) with Occupational Therapist. Clinical services aligned with this taxonomy classification.
Where should I expect ANGELA MITCHELL (OTR/L) on a map?
Expect Omaha, Nebraska as a primary anchor for ANGELA MITCHELL (OTR/L) unless the record lists multiple sites.
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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