Shannon Howell Mitchell , PA-C, CAQ PSYCH, LCSW
Physician Assistant β’ Sylva, NC
44 Bonnie Ln
Sylva, NC 287798511
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Shannon Mitchell is listed in NPPES under Physician Assistant.
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NPI assigned on January 8, 2007; this date does not establish years in practice.
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Published CMS data list 656 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers β by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Buspirone Hcl β 50 prescription fills, including refills.
- Clonazepam β 40 prescription fills, including refills.
- Topiramate β 37 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers β by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 29 records in the table Β· Guide: How to read Medicare Part D prescriber data
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Close to the middle for Part D prescriptions among clinicians listed under Physician Assistant in Sylva, NC (2024, 13 clinicians with data). Median for this group: 840. Middle half: 93 to 1,154.
More Part D prescriptions than 60% of clinicians listed under Physician Assistant in North Carolina (2024, 5,277 clinicians with data). Median for this group: 330. Middle half: 99 to 1,135.
Source: CMS, Medicare Part D Prescribers β by Provider and Drug, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part D prescriptions went from 71 in 2021 to 656 in 2024.
Source: CMS, Medicare Part D Prescribers β by Provider and Drug, 2021β2024.
Practice Location & Contact Primary Location
44 Bonnie Ln
Sylva, NC 287798511
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Blue Ridge Community Health Services, Inc.. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
1998
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
30-day fills
978 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$108,850 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers β by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $295.88 across 3 records.
By nature of payment
- Food and Beverage: $295.88 across 3 records.
Reporting-company totals
- Janssen Pharmaceuticals, Inc: $144.77 across 1 record.
- Otsuka America Pharmaceutical, Inc.: $124.81 across 1 record.
- ABBVIE INC.: $26.30 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
28 years (graduated 1998)
CMS Doctors and Clinicians data list 1998 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2007
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, βDoes your provider accept Medicare as full payment?β
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Shannon Mitchell has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Shannon Mitchell as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Sylva and North Carolina
Billing and prescribing volume is not a quality rating.
Medicare Part D prescriptions
Close to the middle for clinicians listed under Physician Assistant in Sylva, NC (2024, 13 clinicians with data). Median for this group: 840. Middle half: 93 to 1,154.
More Part D prescriptions than 60% of clinicians listed under Physician Assistant in North Carolina (2024, 5,277 clinicians with data). Median for this group: 330. Middle half: 99 to 1,135.
Part D drug cost
A higher Part D drug cost than 65% of clinicians listed under Physician Assistant in Sylva, NC (2024, 13 clinicians with data). Median for this group: $21,275. Middle half: $4,592 to $348,763.
A higher Part D drug cost than 70% of clinicians listed under Physician Assistant in North Carolina (2024, 5,277 clinicians with data). Median for this group: $8,985. Middle half: $887 to $130,574.
21 active clinicians are listed under Physician Assistant with a practice address in Sylva, NC (9,288 in North Carolina).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Sylva
4.8% of these 21 clinicians have the CMS telehealth indicator.
61.9% of these 21 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 824% from 71 in 2021 to 656 in 2024.
- 2021: 71
- 2022: 450
- 2023: 616
- 2024: 656
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30-day fills
30-day fills increased 951% from 93 in 2021 to 978 in 2024.
- 2021: 93
- 2022: 549
- 2023: 860
- 2024: 978
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Part D drug cost
Part D drug cost increased 412% from $21,246 in 2021 to $108,850 in 2024.
- 2021: $21,246
- 2022: $48,065
- 2023: $54,853
- 2024: $108,850
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $66.28 in 2022 to $295.88 in 2025.
- 2022: $66.28
- 2023: $190.19
- 2024: $63.97
- 2025: $295.88
Sources: CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo Β· Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 β December 31, 2025): fewer than 11 records totaling $295.88.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
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SPRAVATO | General | $144.77 |
| Otsuka America Pharmaceutical, Inc. |
Food and Beverage
In-kind items and services
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REXULTI | General | $124.81 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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VRAYLAR | General | $26.30 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Buspirone Hcl | Buspirone Hcl | 50 | 2,504 | $555.61 | 14 |
| Clonazepam | Clonazepam | 40 | 1,174 | $470.93 | β |
| Topiramate | Topiramate | 37 | 1,084 | $272.25 | β |
| Bupropion Xl | Bupropion Hcl | 34 | 2,154 | $350.20 | 13 |
| Trazodone Hcl | Trazodone Hcl | 34 | 1,940 | $229.93 | 11 |
| Fluoxetine Hcl | Fluoxetine Hcl | 29 | 1,760 | $399.99 | β |
| Alprazolam | Alprazolam | 28 | 840 | $158.83 | β |
| Rexulti | Brexpiprazole | 28 | 1,110 | $53,093.50 | β |
| Vraylar | Cariprazine Hcl | 28 | 894 | $42,292.06 | β |
| Duloxetine Hcl | Duloxetine Hcl | 27 | 1,650 | $1,316.24 | β |
| Bupropion Hcl Sr | Bupropion Hcl | 25 | 1,080 | $467.71 | β |
| Paroxetine Hcl | Paroxetine Hcl | 23 | 930 | $160.24 | β |
| Prazosin Hcl | Prazosin Hcl | 23 | 1,591 | $561.49 | β |
| Lurasidone Hcl | Lurasidone Hcl | 23 | 990 | $3,923.57 | β |
| Zolpidem Tartrate | Zolpidem Tartrate | 22 | 900 | $242.93 | β |
| Aripiprazole | Aripiprazole | 20 | 999 | $999.78 | β |
| Temazepam | Temazepam | 19 | 570 | $437.63 | β |
| Metformin Hcl Er | Metformin Hcl | 19 | 870 | $29.30 | β |
| Gabapentin | Gabapentin | 17 | 597 | $265.41 | β |
| Lorazepam | Lorazepam | 17 | 570 | $39.79 | β |
| Dextroamphetamine-Amphetamine | Dextroamphetamine/Amphetamine | 17 | 510 | $681.03 | β |
| Quetiapine Fumarate | Quetiapine Fumarate | 16 | 508 | $165.54 | β |
| Mirtazapine | Mirtazapine | 13 | 870 | $160.05 | β |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 12 | 480 | $248.31 | β |
| Escitalopram Oxalate | Escitalopram Oxalate | 11 | 570 | $58.84 | β |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2026-06-17NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
NUCC Taxonomy Code: 101YM0800X
NUCC Taxonomy Code: 1041C0700X
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - CLINICAL SOCIAL WORKER
I20100615000379
NC
7719017904
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Blue Ridge Community Health Services, Inc.
1207 E St, Waynesville, NC 287863438
Phone: 8284562997
Blue Ridge Community Health Services, Inc.
674 Highlands Rd, Franklin, NC 287349566
Phone: 8283490001
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Social Worker - Clinical
Licensed Clinical Social Worker
Psychiatry & Neurology - Psychiatry
Doctor of Medicine (M.D.)
Nurse Practitioner - Psychiatric/Mental Health
Psychiatric-Mental Health Nurse Practitioner (Board Certified)
Physician Assistant
Physician Assistant (Certified), CAQPSYCH
Psychologist
Doctor of Philosophy (Ph.D.), HSPP, Licensed Clinical Addiction Specialist, Certified Coding Specialist
Social Worker - Clinical
Licensed Clinical Social Worker Associate
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Recorded as SHANNON MITCHELL, PAC, CAQ PSYCH, LCSW
Registered at 220 5TH AVE E, HENDERSONVILLE, NC 287924377 (Tel: 8286924289)
Recorded as SHANNON MITCHELL, PA-C, LCSW
Counselor (license number reported to NPPES: FL SW10926)
Counselor (license number reported to NPPES: NC C006346)
Registered at 44 BONNIE LN, SYLVA, NC 287798511 (Tel: 8286313973)
Registered at 3316 CULLOWHEE MOUNTAIN RD, CULLOWHEE, NC 287238519 (Tel: 8285081768)
Recorded as SHANNON MITCHELL, PA-C
NPI status registered as active in NPPES database
Registered at 9330 SW 71ST AVE, MIAMI, FL 331563027 (Tel: 8285081768)
Registered at 9330 SW 71ST AVE, MIAMI, FL 331563027 (Tel: 8285081768)
Recorded as SHANNON ESCO, MSW
Counselor (license number reported to NPPES: FL SW10926)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Sylva
- Joyce Struna, PA-C
- Alexis Parker, PA
- Emily Wilkins
- Robert Pope, PA-C
- Deborah Allen, PA-C
- Londyn Conner, PA-C, CAQ-PSYCH
Mailing Address
220 5th Ave E
Hendersonville, NC 287924377
Phone: 8286924289