Nicole Shontrease Mitchell is a Springfield, Illinois based nurse anesthetist with 13 years of experience as Anesthesia Administration. She completed she graduation from Drake University College Of Medicine in 2012. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Nicole Shontrease Mitchell is CRNA000564 for Anesthesia Administration in Georgia. Her current practice location is 701 N 1st St, Anesthesia Dept, Springfield. Patients can reach her at 217-788-3755 or can fax her at 217-788-7071. Nicole Shontrease Mitchell is CRNA with specialization in Anesthesia Administration and she NPI number (Unique professional ID assigned by NPPES) is 1316284011. Nicole Shontrease Mitchell is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Nicole Shontrease Mitchell speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Anesthesia Administration
Credentials:
CRNA
Experience:
13+ years
Medical School Attended:
Drake University College Of Medicine
Graduation Year:
2012
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
701 N 1st St, Anesthesia Dept, Springfield, Illinois, 62781-0001
Phone:
217-788-3755
Fax:
217-788-7071
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
8527213701
Enrollment ID:
I20220204001114
NPI Number:
1316284011
NPI Enumeration Date:
15 Jan, 2013
NPI Last Update On:
29 May, 2023
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Nicole Shontrease Mitchell are as mentioned below.
License Number
Specialization
State
Status
CRNA000564
Anesthesia Administration
Georgia
Primary
ARNP9402261
Anesthesia Administration
Florida
Secondary
209010168
Anesthesia Administration
Illinois
Secondary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Nicole Shontrease Mitchell has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Emory Specialty Associates, Llc (3476559782)
271
Other Medical Identifiers:
Other legacy medical identifiers associated with Nicole Shontrease Mitchell such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
87597
Other
ANCC CERTIFICATION
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1117 N Olive Ave, Ste 203 West Palm Beach, Florida
Zip:
33401-3520
Phone Number:
217-788-3755
Fax Number:
217-788-7071
Patients can reach Nicole Shontrease Mitchell at 701 N 1st St, Anesthesia Dept, Springfield, Illinois or can call to book an appointment on 217-788-3755.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.