LAUREN NICOLE MULLINS – Physician Assistant, NPI 1376285700
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,570 PHYSICIAN ASSISTANT in CA
Provider Addresses for LAUREN NICOLE MULLINS
1212 OAKLAND RD SPC 14
SAN JOSE, CA 951121304
Phone: (253) 677-1827
Type: Mailing
7502 LAKEWOOD DR W STE A
LAKEWOOD, WA 984998410
Phone: (253) 572-2842
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 145 Open Payments records for all available years, with a total value of $4,307.
Total Amount is formed as General ($4,307) + Research ($0) + Ownership ($0) = $4,307.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($683).
Total Amount
$4,307
General + Research + Ownership
Payments
145
Total payment records
General Amount
$4,307
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $683 |
| UCB, Inc. | $498 |
| GENZYME CORPORATION | $360 |
| E.R. Squibb & Sons, L.L.C. | $283 |
| Arcutis Biotherapeutics, Inc. | $279 |
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: 2024-09-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240927002959 | I | Physician Assistant | WA | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 95112)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WA | |
| Physician Assistant | WA | |
| Physician Assistant | TN | |
| Physician Assistant | WA | |
| Nurse Practitioner | MI | |
| Physician Assistant | WA | |
| Physician Assistant | WA | |
| Nurse Practitioner | WA | |
| D E R M A T O L O G Y | OR | |
| D E R M A T O L O G Y | WA |
Reviews
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