Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Erica Shawnta Mitchell, AGACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1073394979

Mrs. Erica Shawnta Mitchell, AGACNP-BC is a Nurse Practitioner in Montgomery, Ohio. Qualified in 2022, 4 years ago. Practices with Ohio Living Palliative Care Greater Toledo LLC, a 14-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
4
Licensed in
OH
In the registry since
2023
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Practice location Address checks out

10600 Montgomery Rd Ste 300
Montgomery, OH 45242-4464
Phone: (513) 853-9250
Fax: (513) 281-1908
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence APRN.CNP.0034628 (OH)

Record details

NPI number1073394979
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedOctober 9, 2023
Last updated in NPPESNovember 30, 2023
Certification dateNovember 30, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Ohio Living Palliative Care Greater Toledo Llc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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