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

Mark Mitchell

Individual provider Emergency Medicine Physician · NPI 1215888045

Mark Mitchell is a Nurse Practitioner in Cheyenne, Wyoming. Qualified in 2025, 1 year ago. Practices with Summit Medical Group LLC, a 38-clinician group and accepts Medicare assignment. Licensed in Wyoming.

Years since qualifying
1
Licensed in
WY
In the registry since
2026
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Practice location Address checks out

1821 Bear Cub Rd
Cheyenne, WY 82009-9453
Phone: (307) 337-8058
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 49041 (WY)

Record details

NPI number1215888045
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 6, 2026
Last updated in NPPESFebruary 6, 2026
Certification dateFebruary 6, 2026
Mailing address1821 Bear Cub Rd, Cheyenne, WY 82009-9453

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Summit Medical Group Llc — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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