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Andrea Mitchell

Licensed Practical Nurse β€’ Maumee, OH

Active NPI 1114551801 Individual Practitioner Female Practitioner
Practice location in NPPES

1757 Indian Wood Cir
Maumee, OH 435374009

Call 8336929134 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1757 Indian Wood Cir

Maumee, OH 435374009

Telephone 8336929134
Organization at the Same NPPES Address or Phone
Midwest Detox Center Llc Facility NPI 1033608195

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Toledo, OH. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2020

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.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

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, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

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.

Guide: How Medicare covers telehealth

Compared with the same specialty in Maumee and Ohio

71 active clinicians are listed under Licensed Practical Nurse with a practice address in Maumee, OH (12,649 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Maumee

0% of these 71 clinicians have the CMS telehealth indicator.

0% of these 71 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-10-04
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

License # reported to NPPES OH LPN.136580.MEDS-IV

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Secondary Practice Locations

905 Nebraska Ave

Toledo, OH 436074222

Phone: 4198417701

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Business Mailing Address October 04, 2021

Registered at 2005 ASHLAND AVE, TOLEDO, OH 436201703 (Tel: 4198417701)

βœ…
NPI Profile Active March 03, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 03, 2020

Registered at 1757 INDIAN WOOD CIR, MAUMEE, OH 435374009 (Tel: 8336929134)

πŸ“
Business Mailing Address (Initial Record) March 03, 2020

Registered at 1757 INDIAN WOOD CIR, MAUMEE, OH 435374009

πŸ‘€
Provider Name / Credentials (Initial Record) March 03, 2020

Recorded as ANDREA MITCHELL

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2020

Licensed Practical Nurse (license number reported to NPPES: OH LPN.136580.MEDS-IV)

🟒
Initial NPI Registration & Enumeration March 03, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1114551801
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 03, 2020
Last Update: October 04, 2021
Sole Proprietor: Yes

Mailing Address

2005 Ashland Ave

Toledo, OH 436201703

Phone: 4198417701

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.