SHASTA NIKITA MITCHELL (DNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1134680093
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,655 NURSE PRACTITIONER in UT
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Provider Addresses for SHASTA NIKITA MITCHELL (DNP)
Nordic Trail Lane, Silver Lake Summer Resort, Brighton, Salt Lake County, Utah, United States
BRIGHTON, UT 841215853
Phone: (801) 679-6669
Type: Location
1875 S REDWOOD RD
SALT LAKE CITY, UT 841045112
Phone: (435) 764-0156
Type: Location
East Pioneer Road, The Parc at Day Dairy, Draper, Salt Lake County, Utah, 84020, United States
DRAPER, UT 840209623
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $335.
Total Amount is formed as General ($335) + Research ($0) + Ownership ($0) = $335.
Last reported payment date: 2024-06-14 • Largest payer in this snapshot: BioXcel Therapeutics, Inc. ($125).
Total Amount
$335
General + Research + Ownership
Payments
13
Total payment records
General Amount
$335
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| BioXcel Therapeutics, Inc. | $125 |
| Alkermes, Inc. | $75 |
| Indivior Inc. | $67 |
| ABBVIE INC. | $41 |
| Otsuka America Pharmaceutical, Inc. | $14 |
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: 2025-12-01
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 |
|---|---|---|---|---|
| I20251201003620 | I | Nurse Practitioner | UT | 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 84121)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | UT | |
| Clinical Psychologist | UT | |
| Clinical Psychologist | UT | |
| Clinical Social Worker | UT | |
| Nurse Practitioner | UT | |
| Clinical Social Worker | MI | |
| Nurse Practitioner | UT | |
| Clinical Social Worker | UT | |
| Nurse Practitioner | UT | |
| - | UT |
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