ASHLEY MARIE MULDER (MD) – Family Medicine Physician, NPI 1104455989

ASHLEY MARIE MULDER (MD) is a healthcare provider. based in Tucson, Arizona. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 69006 (AZ). The NPI Number for ASHLEY MARIE MULDER (MD) is 1104455989

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
ASHLEY MARIE MULDER (MD)
NPI
1104455989
Phone
(520) 490-6321
Address
7931 N PYRACANTHA PL
Enumeration Date
3 April 2020
Last Update Date
11 December 2025

Doctor Profile

Medical School Name
UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Secondary Phone
9284587583
Graduation Year
2020 (6 years ago)
PAC ID
0749648988
Group Practice PAC ID
4385940295
Professional Enrollment ID
I20230621001827
Address ID
AZ863142240PR3151XDRXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Digital endpointsOther names

2,259 FAMILY PRACTICE in AZ

Provider Addresses for ASHLEY MARIE MULDER (MD)

  • 7931 N PYRACANTHA PL

    TUCSON, AZ 857411336

    Phone: (520) 490-6321

    Type: Mailing

  • 2000 W BETHANY HOME RD

    PHOENIX, AZ 850152443

    Phone: (520) 490-6321

    Type: Location

  • 2035 MESQUITE AVE

    LAKE HAVASU CITY, AZ 864035894

    Phone: (928) 208-4598

    Fax: (888) 571-6436

    Type: Mailing

  • 2000 W BETHANY HOME RD STE 200

    PHOENIX, AZ 850152443

    Phone: (520) 490-6321

    Fax: (602) 433-6686

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $410.

Total Amount is formed as General ($410) + Research ($0) + Ownership ($0) = $410.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Astellas Pharma US Inc ($125).

Total Amount

$410

General + Research + Ownership

Payments

16

Total payment records

General Amount

$410

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-06-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230621001827IFamily PracticeAZTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes300172$0
99204New patient office or other outpatient visit, 45-59 minutes117117$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit7575$0
99213Established patient office or other outpatient visit, 20-29 minutes3532$0
81002Urinalysis, manual test1613$0
View full utilization report →

Insurance plans in this area (ZIP 85741)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4385940295View full group profile
NameSpecialtyState
Nurse PractitionerAZ
Physician AssistantAZ
Nurse PractitionerAZ
Physician AssistantAZ
Physician AssistantAZ
Physician AssistantAZ
Nurse PractitionerAZ
Internal MedicineFL
Physician AssistantTX
Nurse PractitionerAZ

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What federal number belongs to ASHLEY MARIE MULDER (MD)?
The federal identifier for ASHLEY MARIE MULDER (MD) is NPI 1104455989.
Is ASHLEY MARIE MULDER (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does ASHLEY MARIE MULDER (MD) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for ASHLEY MARIE MULDER (MD). Clinical services aligned with this taxonomy classification.
Where is ASHLEY MARIE MULDER (MD)'s primary listing?
We display Tucson, Arizona because that is what the record indicates for ASHLEY MARIE MULDER (MD).
Is ASHLEY MARIE MULDER (MD) a real provider?
This page reflects official NPPES data for NPI 1104455989. Always confirm identity and privileges with the practice and licensing boards.

Similar Providers

A NEW CREATION WOMENS CLINIC PC

Family Medicine Physician
3055 W INA RD
NPI: 1164425450

DR. ALLAN BARRY AVEN (MD)

Family Medicine Physician
East Erickson Drive, Tucson, Pima County, Arizona, 85712, United States
NPI: 1609878750

DR. BRIAN SHANNON DONOVAN (M.D.)

Family Medicine Physician
East Broadway Boulevard, Tucson, Pima County, Arizona, 85748, United States
NPI: 1780686949

DR. JORGE FRANCO O'LEARY (MD)

Family Medicine Physician
5420, South 12th Avenue, Tucson, Pima County, Arizona, 85706, United States
NPI: 1083610109

DR. LURALIE LYNNE LEONARD (M.D.)

Family Medicine Physician
3469 S CADMIUM LOOP
NPI: 1659378271

DR. RANDOLPH FRITZ SCOTT (D.O.)

Family Medicine Physician
4801 E BROADWAY BLVD STE 251
NPI: 1811994353

REBECCA ADELE MILLIUS (MD)

Anatomic Pathology & Clinical Pathology Physician
Banner University Medical Center Tucson, 1501, North Campbell Avenue, North University, Tucson, Pima County, Arizona, 85724, United States
NPI: 1285631481

DR. MEDGAR MARCIAL MOYA (MD)

Family Medicine Physician
La Maraña, Campo de Golf-Polígono 13, Cabanillas del Campo, Guadalajara, Castile-La Mancha, 19171, Spain
NPI: 1619974706

DR. SHAWN G PLATT (D.O.)

Family Medicine Physician
2828, North Stone Avenue, Keeling, Tucson, Pima County, Arizona, 85705, United States
NPI: 1851391353