JESSICA MITCHELL (PA-C) – Physician Assistant, NPI 1003153743
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,118 PHYSICIAN ASSISTANT in TN
Provider Addresses for JESSICA MITCHELL (PA-C)
353 NEW SHACKLE ISLAND RD STE 122B
HENDERSONVILLE, TN 370752329
Phone: (615) 824-2014
Fax: (615) 824-2081
Type: Mailing
353 NEW SHACKLE ISLAND RD
HENDERSONVILLE, TN 37075
Phone: (615) 824-3737
Fax: (888) 687-6133
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $34.
Total Amount is formed as General ($34) + Research ($0) + Ownership ($0) = $34.
Last reported payment date: 2024-09-03 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($17).
Total Amount
$34
General + Research + Ownership
Payments
2
Total payment records
General Amount
$34
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Hologic Sales and Service, LLC | $17 |
| Smith+Nephew, Inc. | $17 |
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: 2013-02-13
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 |
|---|---|---|---|---|
| I20130213000163 | I | Physician Assistant | TN | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 66 | 48 | $0 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 64 | 20 | $0 |
| 73562 | X-ray of knee, 3 views | 46 | 35 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 43 | 35 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 39 | 26 | $0 |
Insurance plans in this area (ZIP 37075)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TN | |
| Family Practice, Sports Medicine | TN | |
| - | TN | |
| - | TN | |
| - | TN | |
| Nurse Practitioner | TN | |
| Internal Medicine | TN | |
| Internal Medicine | TN | |
| - | TN | |
| - | TN |
Reviews
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