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Active NPI 1043537020 Individual Practitioner Female Practitioner

Dr. Emily A Mitchell , DO

Surgery • Niles, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Emily Mitchell, DO is a certified Surgery practicing in Niles, MI. With approximately 16 years of clinical experience since graduating from Michigan State University College Of Osteopathic Medicine in 2010, Dr. Mitchell delivers high-quality medical care to the local community at 42 N SAINT JOSEPH AVE STE 100.

Dr. Mitchell maintains professional affiliations with Lakeland Medical Practices, Ascension Medical Group Promed, Three Rivers Health System Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, insertion of needle into vein for collection of blood sample, complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

42 N Saint Joseph Ave Ste 100

Niles, MI 491202203

Telephone 2696846696
Associated Practice Facility / Clinic
🏢 Four Flags Urology, Inc. Facility NPI 1144292939

Medicare Profile & Education

Medical School

Michigan State University College Of Osteopathic Medicine

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Niles, MI

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
16 Yrs -5.0 yrs vs City Avg
City Avg: 21.0 Yrs
State Avg: 25.8 Yrs
Regional Practice Density
7 Specialists

Practicing in Niles, MI (1479 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
64.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mitchell (16 Years) 16 Yrs
Niles Specialty Average (21.0 Years) 21.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
15 15 $297.00 $106.44

Medical Specialties & State Licenses

CMS Verified: 2024-08-02
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MI 5101018742

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License IN 02004694A

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
PENDING (IN)
Medicaid State Provider ID
1043537020 (MI)
Commercial Insurance / Payer ID Railroad Medicare Pin
PENDING (IN)

Hospital & Practice Group Affiliations

Lakeland Medical Practices

42 N Saint Joseph Ave, Niles, MI 491202203

Phone: 2696846696

Ascension Medical Group Promed

1717 Shaffer St, Kalamazoo, MI 490481647

Phone: 2693445552

Three Rivers Health System Inc

715 S Health Pkwy, Three Rivers, MI 490938352

Phone: 2692738471

Secondary Practice Locations

303 S Nappanee St

Elkhart, IN 465142066

Phone: 5742963200

715 S Health Pkwy

Three Rivers, MI 490938352

Phone: 2692738471

Practice Associates & Co-Workers

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

5 Associated Practitioners
NPI 1407854995

Doctor of Osteopathic Medicine (D.O.)

NPI 1437787017
NPI 1558317446

Doctor of Medicine (M.D.)

NPI 1851363618

Doctor of Medicine (M.D.)

NPI 1851523377

Doctor of Osteopathic Medicine (D.O.), Master of Public Health

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location August 02, 2024

Registered at 42 N SAINT JOSEPH AVE STE 100, NILES, MI 491202203 (Tel: 2696846696)

📍
Updated Business Mailing Address August 02, 2024

Registered at 42 N SAINT JOSEPH AVE STE 100, NILES, MI 491202203

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 02, 2024

Surgery (License #02004694A in IN)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 21, 2023

Surgery (License #5101018742 in MI)

NPI Profile Active October 06, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location October 06, 2015

Registered at 303 S NAPPANEE ST, ELKHART, IN 465142066 (Tel: 5742963200)

📍
Updated Business Mailing Address October 06, 2015

Registered at PO BOX 2968, ELKHART, IN 465152968 (Tel: 5742963200)

👤
Provider Name / Credentials Updated October 06, 2015

Recorded as EMILY MITCHELL, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 06, 2015

Surgery (License #02004694A in IN)

🟢
Initial NPI Registration & Enumeration April 29, 2010

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: 1043537020
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 29, 2010
Last Update: August 02, 2024
Sole Proprietor: No

Mailing Address

42 N Saint Joseph Ave Ste 100

Niles, MI 491202203

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.