Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dane Collins Mitchell, PA-C

Individual provider Physician Assistant · NPI 1578209078

Dane Collins Mitchell, PA-C is a Physician Assistant in Stillwater, Oklahoma. Qualified in 2022, 4 years ago. Practices with Oliver Street 5 01(A) Inc, a 168-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
4
Licensed in
OK
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1212 W 12th Ave
Stillwater, OK 74074-4400
Phone: (405) 533-3376
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5015 (OK)

Record details

NPI number1578209078
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 7, 2022
Last updated in NPPESJuly 31, 2025
Certification dateJuly 3, 2025
Mailing address1212 W 12th Ave, Stillwater, OK 74074-4400

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Oliver Street 5.01(A) Inc — 168 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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