MITCHEL NELSON (PA) – Medical Physician Assistant, NPI 1104294396

MITCHEL NELSON (PA) is a healthcare provider. based in Houston, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. The NPI Number for MITCHEL NELSON (PA) is 1104294396

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
MITCHEL NELSON (PA)
NPI
1104294396
Phone
(832) 828-3660
Address
2 GREENWAY PLZ STE 300
Enumeration Date
4 September 2015
Last Update Date
8 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8012139900
Graduation Year
2015 (11 years ago)
PAC ID
6103164835
Group Practice PAC ID
9739403569
Professional Enrollment ID
I20190205001562

Contacts

Secure Messaging
mnelson144504@direct.med.utah.edu
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness85
Years active:10State licenses:0Other namesUpdated within 12 months

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for MITCHEL NELSON (PA)

  • 2 GREENWAY PLZ STE 300

    HOUSTON, TX 770460207

    Phone: (832) 828-3660

    Type: Mailing

  • 6701 FANNIN ST

    HOUSTON, TX 770302608

    Phone: (832) 824-1000

    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: 2019-02-05

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
I20190205001562IPhysician AssistantUTTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes116113$0
99213Established patient office or other outpatient visit, 20-29 minutes108103$0
99204New patient office or other outpatient visit, 45-59 minutes4141$0
99203New patient office or other outpatient visit, 30-44 minutes2626$0
View full utilization report →

Insurance plans in this area (ZIP 77046)

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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: 9739403569View full group profile
NameSpecialtyState
Family PracticeUT
Internal MedicineUT
P O D I A T R YUT
Physician AssistantUT
Family PracticeUT
Family PracticeMT
Family PracticeUT
Family PracticeUT
Physician AssistantUT
Physician AssistantUT

Reviews

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Frequently asked questions

Can I verify MITCHEL NELSON (PA) with an NPI only?
You can start verification with NPI 1104294396 for MITCHEL NELSON (PA), then check state licensing separately.
Does the file indicate MITCHEL NELSON (PA) is practicing under active NPI?
Directory data currently reports MITCHEL NELSON (PA) as active.
What healthcare role does MITCHEL NELSON (PA) hold?
Scheduling teams often label MITCHEL NELSON (PA) under Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What area does MITCHEL NELSON (PA) serve?
MITCHEL NELSON (PA)'s listing highlights Houston, Texas; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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