SHAWNA RAE MITCHELL (FNP-C) – Family Nurse Practitioner, NPI 1043553472

SHAWNA RAE MITCHELL (FNP-C) is a healthcare provider. based in Albuquerque, New Mexico. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. CNP-61940 (NM). The NPI Number for SHAWNA RAE MITCHELL (FNP-C) is 1043553472

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
SHAWNA RAE MITCHELL (FNP-C)
NPI
1043553472
Phone
(505) 207-3421
Address
11601 Montgomery Blvd NE
Enumeration Date
4 April 2013
Last Update Date
25 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5052815180
Graduation Year
2012 (14 years ago)
PAC ID
7810130846
Group Practice PAC ID
5092075531
Professional Enrollment ID
I20230407000143
Address ID
NM871112796AL11501NEXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:13State licenses:2Digital endpointsOther names

2,370 NURSE PRACTITIONER in NM

Provider Addresses for SHAWNA RAE MITCHELL (FNP-C)

  • 11601 Montgomery Blvd NE

    Albuquerque, NM 871112660

    Phone: (505) 207-3421

    Fax: (505) 702-8171

    Type: Location

  • 2955 S BROADWAY

    ENGLEWOOD, CO 801131526

    Phone: (303) 338-4545

    Type: Mailing

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: 2023-04-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20130823000537INurse PractitionerCOTBD
I20210310000861INurse PractitionerFLTBD
I20220211000070INurse PractitionerALTBD
I20230407000143INurse PractitionerNMTBD

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
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit5959$0
99214Established patient office or other outpatient visit, 30-39 minutes3332$0
99204New patient office or other outpatient visit, 45-59 minutes3333$0
G0442Annual alcohol misuse screening, 5 to 15 minutes2525$0
87804Detection test by immunoassay with direct visual observation for influenza virus2411$0
View full utilization report →

Insurance plans in this area (ZIP 87111)

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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: 5092075531View full group profile
NameSpecialtyState
Clinical Social WorkerUT
Nurse PractitionerNM
-NM
Physician AssistantNM
Physician AssistantNM
Family Practice, Sports MedicineNM
Nurse PractitionerNM
Physician AssistantNM
Physician AssistantNM
Nurse PractitionerNM

Reviews

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Frequently asked questions

What is the registry number for SHAWNA RAE MITCHELL (FNP-C)?
The registry entry for SHAWNA RAE MITCHELL (FNP-C) shows NPI 1043553472.
Is SHAWNA RAE MITCHELL (FNP-C)'s NPI status active today?
Active status means SHAWNA RAE MITCHELL (FNP-C)'s NPI record is not deactivated in the public file.
What services align with SHAWNA RAE MITCHELL (FNP-C)'s listing?
SHAWNA RAE MITCHELL (FNP-C)'s public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to SHAWNA RAE MITCHELL (FNP-C)?
SHAWNA RAE MITCHELL (FNP-C) shows a connection to Albuquerque, New Mexico in registry-derived data.
Who maintains SHAWNA RAE MITCHELL (FNP-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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