MEDICARE: MEGHAN ANN MITCHELL CPC-PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0200X	Pediatric Nurse Practitioner	APRN.CNP.0040803	OH

General Provider Information

NPI Number	:	1083468185
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGHAN ANN MITCHELL CPC-PC

Provider Business Mailing Address
First Line	:	327 LOST RIVER DR
Second Line	:
City	:	BLACKLICK
State	:	OH
Zip	:	43004-8437
Country	:	US
Telephone Number	:	513-505-2325
Fax Number	:

Provider Business Practice Location Address
First Line	:	3535 OLENTANGY RIVER RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43214-3908
Country	:	US
Telephone Number	:	614-566-5000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/15/2024
Last Update Date	:	02/09/2026

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