INGRID DOMINIC MITCHELL (P.A.) – Medical Physician Assistant, NPI 1295750677
Medical Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for INGRID DOMINIC MITCHELL (P.A.)
Livernois Avenue, Michigan-Martin, Detroit, Wayne County, Michigan, 48238, United States
DETROIT, MI 482214214
Phone: (313) 861-4400
Fax: (248) 336-9137
Type: Location
390, Enterprise Court, Bloomfield Industrial Park, Bloomfield Hills, Oakland County, Michigan, 48302, United States
SUITE 103
BLOOMFIELD HILLS, MI 483020320
Phone: (248) 336-4000
Fax: (248) 336-9137
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 18 Open Payments records for all available years, with a total value of $1,860.
Total Amount is formed as General ($1,860) + Research ($0) + Ownership ($0) = $1,860.
Last reported payment date: 2024-09-18 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($369).
Total Amount
$1,860
General + Research + Ownership
Payments
18
Total payment records
General Amount
$1,860
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Teva Pharmaceuticals USA, Inc. | $369 |
| AstraZeneca Pharmaceuticals LP | $257 |
| Abbott Laboratories | $170 |
| Janssen Pharmaceuticals, Inc | $160 |
| ViiV Healthcare Company | $125 |
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: 2004-02-25
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 |
|---|---|---|---|---|
| I20040225000251 | I | Physician Assistant | MI | 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 48221)
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