MRS. KATHARINE THERESA MITCHELL (FNP) – Family Nurse Practitioner, NPI 1871800615

MRS. KATHARINE THERESA MITCHELL (FNP) is a healthcare provider. based in Portland, Oregon. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. AP60268388 (WA). The NPI Number for MRS. KATHARINE THERESA MITCHELL (FNP) is 1871800615

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KATHARINE THERESA MITCHELL (FNP)
NPI
1871800615
Phone
(503) 297-6334
Address
9155 SW BARNES RD
Enumeration Date
31 August 2010
Last Update Date
18 June 2021

Doctor Profile

Medical School Name
WASHINGTON STATE UNIVERSITY ELSON S FLOYD COLLEGE OF MEDICINE
Secondary Phone
3609524457
Graduation Year
2011 (15 years ago)
PAC ID
9830347046
Group Practice PAC ID
9335430677
Professional Enrollment ID
I20130523000739
Address ID
WA986616979VA650XXRDXX401

Contacts

Secure Messaging
kmitchell126725@wm.providencedirect.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness85
Years active:15State licenses:2Other namesUpdated within 12 months

6,261 NURSE PRACTITIONER in WA

Provider Addresses for MRS. KATHARINE THERESA MITCHELL (FNP)

  • 9155 SW BARNES RD

    PORTLAND, OR 972256625

    Phone: (503) 297-6334

    Fax: (360) 297-2360

    Type: Mailing

  • 1905 SE 164th Ave

    Vancouver, WA 986838937

    Phone: (360) 836-3396

    Fax: (360) 216-4422

    Type: Location

  • 101 NW 12th Ave Ste 107

    Battle Ground, WA 986049141

    Phone: (360) 687-6650

    Fax: (360) 687-6669

    Type: Location

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: 2013-05-23

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
I20130523000739INurse PractitionerWATBD

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 97225)

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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: 9335430677View full group profile
NameSpecialtyState
Family PracticeWA
Family PracticeAK
Nurse PractitionerWA
Physician AssistantOR
Physician AssistantOR
Family PracticeOR
Physician AssistantWA
Family PracticeWA
Nurse PractitionerID

Reviews

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Frequently asked questions

Can I verify MRS. KATHARINE THERESA MITCHELL (FNP) with an NPI only?
You can start verification with NPI 1871800615 for MRS. KATHARINE THERESA MITCHELL (FNP), then check state licensing separately.
Can I rely on MRS. KATHARINE THERESA MITCHELL (FNP) being an active provider?
As of the registry snapshot, MRS. KATHARINE THERESA MITCHELL (FNP) is marked active.
What is MRS. KATHARINE THERESA MITCHELL (FNP)'s primary classification?
Family Nurse Practitioner is the headline specialty for MRS. KATHARINE THERESA MITCHELL (FNP) here. Clinical services aligned with this taxonomy classification.
What address line appears for MRS. KATHARINE THERESA MITCHELL (FNP)?
MRS. KATHARINE THERESA MITCHELL (FNP)'s geographic hint is Portland, Oregon in our summary view.
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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