KATHRYN CORGAN MITCHELL (PA-C) – Physician Assistant, NPI 1922459650
Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for KATHRYN CORGAN MITCHELL (PA-C)
9200 W Wisconsin Ave
Suite E4100
Milwaukee, WI 532263522
Phone: (414) 955-3106
Fax: (414) 955-6221
Type: Location
100 N ACADEMY AVE
DANVILLE, PA 178224903
Phone: (570) 271-6144
Fax: (570) 271-6578
Type: Mailing
1155 E MOUNTAIN BLVD
WILKES BARRE, PA 187027906
Phone: (570) 808-6113
Fax: (570) 808-6349
Type: Location
101, West University Avenue, Champaign, Champaign County, Illinois, 61820, United States
CHAMPAIGN, IL 618203981
Phone: (217) 366-1248
Type: Mailing
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 $89.
Total Amount is formed as General ($89) + Research ($0) + Ownership ($0) = $89.
Last reported payment date: 2024-02-07 • Largest payer in this snapshot: Lilly USA, LLC ($72).
Total Amount
$89
General + Research + Ownership
Payments
2
Total payment records
General Amount
$89
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $72 |
| ABBVIE INC. | $18 |
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: 2021-07-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20171014000001 | I | Physician Assistant | IL | TBD |
| I20210723001300 | I | Physician Assistant | PA | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 192 | 51 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 142 | 125 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 77 | 73 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 68 | 62 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 63 | 58 | $0 |
Insurance plans in this area (ZIP 53226)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Physician Assistant | IL | |
| Physician Assistant | IL | |
| - | IL | |
| - | IL | |
| - | IN | |
| - | IL | |
| Physician Assistant | IL | |
| Nurse Practitioner | IL | |
| - | IL |
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