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

Dr. Emily A Mitchell, DO

Individual provider Surgery Physician · NPI 1043537020

Dr. Emily A Mitchell, DO is a General Surgery in Niles, Michigan. Graduated from Michigan State University College of Osteopathic Medicine in 2010, 16 years ago. Practices with Ascension Medical Group Promed, a 255-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Indiana and Michigan.

Years since qualifying
16
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
IN, MI
In the registry since
2010
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

42 N Saint Joseph Ave Ste 100
Niles, MI 49120-2203
Phone: (269) 684-6696
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 303 S Nappanee St, Elkhart, IN 46514-2066 — (574) 296-3200
  • 715 S Health Pkwy, Three Rivers, MI 49093-8352 — (269) 273-8471

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 5101018742 (MI)
Surgery Physician Taxonomy 208600000X · Licence 02004694A (IN)

Record details

NPI number1043537020
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 29, 2010
Last updated in NPPESAugust 2, 2024
Certification dateAugust 2, 2024
Mailing address42 N Saint Joseph Ave Ste 100, Niles, MI 49120-2203

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2010 (16 years in practice)
Group practice Ascension Medical Group Promed — 255 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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