Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1528680162 Individual Practitioner Male Practitioner

Mitchell Wayne Sanders

Physician Assistant • Carbondale, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Mitchell Sanders is a certified Physician Assistant practicing in Carbondale, IL. With approximately 5 years of clinical experience since graduating from Southern Illinois University School Of Medicine in 2021, Mitchell Sanders delivers high-quality medical care to the local community at 2601 W MAIN ST.

Mitchell Sanders is affiliated with Southern Illinois Medical Services Nfp and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

2601 W Main St

Carbondale, IL 629011031

Telephone 6185495361
Fax 6183514878
Associated Practice Facility / Clinic
🏢 The Carbondale Clinic Facility NPI 1043378565

Medicare Profile & Education

Medical School

Southern Illinois University School Of Medicine

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Carbondale, IL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -7.2 yrs vs City Avg
City Avg: 12.2 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
71 Specialists

Practicing in Carbondale, IL (4958 Statewide)

Telehealth Adoption Rate
4.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sanders (5 Years) 5 Yrs
Carbondale Specialty Average (12.2 Years) 12.2 Yrs

Medical Specialties & State Licenses

CMS Verified: 2021-12-09
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085008547

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

Definition to come...

Hospital & Practice Group Affiliations

Southern Illinois Medical Services Nfp

2601 W Main St, Carbondale, IL 629011031

Phone: 6185495361

Secondary Practice Locations

405 Rushing Dr

Herrin, IL 629483730

Phone: 6189933300

502 W Saint Louis St Ste 4

West Frankfort, IL 628961968

Phone: 6189373400

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Melissa Martinez Mateo , MD

Internal Medicine - Gastroenterology

NPI 1003124280

Doctor of Medicine (M.D.)

Cynthia Snider , APRN

Nurse Practitioner

NPI 1003478066

Advanced Practice Registered Nurse

NPI 1003598269

Advanced Practice Registered Nurse, Family Nurse Practitioner (Board Certified)

Lindsay Casolari , NP

Nurse Practitioner

NPI 1043846421

Nurse Practitioner

Dr. Is-Haq Malik , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1063998862

Doctor of Medicine (M.D.)

Jannice Edmonson , NP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1083578348

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location December 09, 2021

Registered at 2601 W MAIN ST, CARBONDALE, IL 629011031 (Tel: 6185495361)

📍
Updated Business Mailing Address December 09, 2021

Registered at PO BOX 3988, CARBONDALE, IL 629023988 (Tel: 6184575200)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 09, 2021

Student in an Organized Health Care Education/Training Program

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 16, 2021

Physician Assistant

NPI Profile Active May 16, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location May 16, 2020

Registered at 2350 S ILLINOIS AVE APT 8B, CARBONDALE, IL 629035977 (Tel: 2172641612)

📍
Updated Business Mailing Address May 16, 2020

Registered at 2350 S ILLINOIS AVE APT 8B, CARBONDALE, IL 629035977

👤
Provider Name / Credentials Updated May 16, 2020

Recorded as MITCHELL SANDERS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 16, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 16, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528680162
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 16, 2020
Last Update: December 09, 2021
Sole Proprietor: No

Mailing Address

Po Box 3988

Carbondale, IL 629023988

Phone: 6184575200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.