Kaelyn R Mitchell, CRNP is a medicare enrolled "Nurse Practitioner" in Conneaut Lake, Pennsylvania. She graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Titusville Area Hospital, Primary Care Services and her current practice location is
8508 State Higway 285, Conneaut Lake, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(814) 382-5703.
Kaelyn R Mitchell is licensed to practice in Pennsylvania (license number SP026874) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1275233579.
Provider's Profile
| Full Name | Kaelyn R Mitchell |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 4 Years |
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| Location | 8508 State Higway 285, Conneaut Lake, Pennsylvania |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Kaelyn R Mitchell graduated from nursing school in 2022
NPI Data:
- NPI Number: 1275233579
- Provider Enumeration Date: 03/06/2023
- Last Update Date: 02/03/2026
Medicare PECOS Information:
- PECOS PAC ID: 0547634800
- Enrollment ID: I20230328001761
Medical Identifiers
Medical identifiers for Kaelyn R Mitchell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1275233579 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363L00000X | Nurse Practitioner | SP026874 (Pennsylvania) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Titusville Area Hospital | 8022907575 | 83 |
| Primary Care Services | 0244452258 | 32 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kaelyn R Mitchell allows following entities to bill medicare on her behalf.
| Entity Name | Primary Care Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962804955 PECOS PAC ID: 0244452258 Enrollment ID: O20141106001537 |
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| Entity Name | Titusville Area Hospital |
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| Entity Type | Part B Supplier - Hospital Department(s) |
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| Entity Identifiers | NPI Number: 1962964981 PECOS PAC ID: 8022907575 Enrollment ID: O20190603002047 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kaelyn R Mitchell is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Kaelyn R Mitchell, CRNP 1034 Grove St, Meadville, PA 16335-2945 Ph: (814) 382-5703 | Kaelyn R Mitchell, CRNP 8508 State Higway 285, Conneaut Lake, PA 16316-1120 Ph: (814) 382-5703 |
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