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

Sandra Lee Mitkos, FNP

Individual provider Family Nurse Practitioner · NPI 1790015527

Sandra Lee Mitkos, FNP is a Nurse Practitioner in Potosi, Missouri. Qualified in 2009, 17 years ago. Practices with Washington County Memorial Hospital, a 23-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
17
Licensed in
MO
In the registry since
2009
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

108 Frizzell St
Potosi, MO 63664-1505
Phone: (573) 438-5408
Fax: (573) 438-2419
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2009036279 (MO)

Record details

NPI number1790015527
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedDecember 29, 2009
Last updated in NPPESApril 25, 2018
Mailing address300 Health Way Dr, Potosi, MO 63664-1420

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Washington County Memorial Hospital — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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