MRS. DESTINY RUOSA MITCHELL APRN-CNP NPI 1114309317

NPI Information

  • NPI: 1114309317
  • Provider Name: MRS. DESTINY RUOSA MITCHELL, APRN-CNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 781 GRAND CASINO BLVD
    SHAWNEE, OK
    ZIP 74804
  • Phone: (405) 964-5770

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NPI Details

MRS. Destiny Ruosa Mitchell, APRN-CNP is a family nurse practitioner in Shawnee, OK with 12 years of experience. MRS. Destiny Ruosa Mitchell, APRN-CNP NPI is 1114309317. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

781 GRAND CASINO BLVD
SHAWNEE, OK
ZIP 74804-005
Phone: (405) 964-5770
Fax: (405) 964-5788

The NPI 1114309317 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Manual urinalysis test with examination using microscope, automated (HCPCS:81001)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Blood test, comprehensive group of blood chemicals (HCPCS:80053)
  • Hemoglobin a1c level (HCPCS:83036)
  • Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
  • Blood test, basic group of blood chemicals (calcium, total) (HCPCS:80048)
  • Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen (HCPCS:87635)
  • Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)

The enumeration date for this NPI number is 6/24/2015 and was last updated on 4/24/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily79374OKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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