MRS. KRISTIN LOUISE MULLONEY (APRN) – Acute Care Nurse Practitioner, NPI 1275383259

MRS. KRISTIN LOUISE MULLONEY (APRN) is a healthcare provider. based in Lexington, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 4017363 (KY). The NPI Number for MRS. KRISTIN LOUISE MULLONEY (APRN) is 1275383259

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KRISTIN LOUISE MULLONEY (APRN)
NPI
1275383259
Phone
(859) 475-6168
Address
114 VENICE PARK
Enumeration Date
25 March 2024
Last Update Date
25 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8594668956
Graduation Year
2021 (5 years ago)
PAC ID
0345689162
Group Practice PAC ID
9830344688
Professional Enrollment ID
I20241023003630
Address ID
KY405031461LE1701XRDXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

7,347 NURSE PRACTITIONER in KY

Provider Addresses for MRS. KRISTIN LOUISE MULLONEY (APRN)

  • 114 VENICE PARK

    LEXINGTON, KY 405031841

    Phone: (859) 475-6168

    Type: Mailing

  • 1701 NICHOLASVILLE RD

    LEXINGTON, KY 405031458

    Phone: (859) 269-4668

    Type: Location

  • 4097 Nichols Park Dr

    Lexington, KY 405034428

    Phone: (859) 245-2273

    Type: Location

  • 197 E Brannon Rd

    Nicholasville, KY 403568060

    Phone: (859) 756-6849

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-10-23

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
I20241023003630INurse PractitionerKYTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 40503)

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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: 9830344688View full group profile
NameSpecialtyState
Nurse PractitionerKY
Family PracticeKY
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
-KY
Nurse PractitionerKY
Nurse PractitionerKY
Physician AssistantKY
Nurse PractitionerKY

Reviews

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Frequently asked questions

How is MRS. KRISTIN LOUISE MULLONEY (APRN) identified in CMS data?
CMS-hosted NPPES data lists MRS. KRISTIN LOUISE MULLONEY (APRN) with NPI 1275383259.
Does CMS list MRS. KRISTIN LOUISE MULLONEY (APRN) as active?
Yes — MRS. KRISTIN LOUISE MULLONEY (APRN) is active in the NPI listing used on this page.
What healthcare role does MRS. KRISTIN LOUISE MULLONEY (APRN) hold?
Scheduling teams often label MRS. KRISTIN LOUISE MULLONEY (APRN) under Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is MRS. KRISTIN LOUISE MULLONEY (APRN) based?
MRS. KRISTIN LOUISE MULLONEY (APRN) is tied to Lexington, Kentucky in the data we show; additional addresses may exist on the full record.
Why does MRS. KRISTIN LOUISE MULLONEY (APRN) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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