DEBORA ANN MITCHELL (APRN, FNP-C) – Family Nurse Practitioner, NPI 1417510314
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DEBORA ANN MITCHELL (APRN, FNP-C)
8273 SW Lori Way
Beaverton, OR 970076909
Phone: (734) 276-6075
Type: Location
8273, Southwest Lori Way, Sexton Mountain, Beaverton, Metro, Washington County, Oregon, 97007, United States
BEAVERTON, OR 970076909
Phone: (734) 276-6075
Type: Mailing
Southwest Borland Road, Tualatin, Metro, Clackamas County, Oregon, 97035, United States
TUALATIN, OR 970628854
Phone: (503) 885-1515
Fax: (503) 885-1520
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $1,168.
Total Amount is formed as General ($1,168) + Research ($0) + Ownership ($0) = $1,168.
Last reported payment date: 2023-08-30 • Largest payer in this snapshot: Medline Industries LP ($1,168).
Total Amount
$1,168
General + Research + Ownership
Payments
8
Total payment records
General Amount
$1,168
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medline Industries LP | $1,168 |
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: 2020-07-02
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200702001297 | I | Nurse Practitioner | OR | 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.
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 97007)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pain Management, Interventional Pain Management | OR | |
| Physician Assistant | OR | |
| Nurse Practitioner | OR | |
| Physical Medicine And Rehabilitation, Interventional Pain Management | OR |
Reviews
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