MR. DENNIS HOUSTON MITCHELL (PA-C) – Physician Assistant, NPI 1629005715
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MR. DENNIS HOUSTON MITCHELL (PA-C)
2650, Vineyard Drive, Santa Clara, Washington County, Utah, 84765, United States
SANTA CLARA, UT 847655430
Phone: (435) 674-3117
Fax: (435) 673-8376
Type: Mailing
Coral Desert Rehabilitation, 1490 E., Foremaster Drive, St. George, Washington County, Utah, 84690, United States
ST GEORGE, UT 847904503
Phone: (435) 688-2104
Fax: (435) 628-5308
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 24 Open Payments records for all available years, with a total value of $669.
Total Amount is formed as General ($669) + Research ($0) + Ownership ($0) = $669.
Last reported payment date: 2024-09-11 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($188).
Total Amount
$669
General + Research + Ownership
Payments
24
Total payment records
General Amount
$669
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sumitomo Pharma America, Inc. | $188 |
| Janssen Biotech, Inc. | $170 |
| Astellas Pharma US Inc | $103 |
| ABC Home Medical Supply, Inc. | $30 |
| TOLMAR, INC. | $26 |
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: 2012-01-17
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 |
|---|---|---|---|---|
| I20120117000710 | I | Physician Assistant | 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 84765)
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Reviews
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