LARISA LUCAS MULLINS – Psychiatric/Mental Health Nurse Practitioner, NPI 1295566404

LARISA LUCAS MULLINS is a healthcare provider. based in Corbin, Kentucky. specializing in NURSE PRACTITIONER. They hold a License No. 4025988 (KY). The NPI Number for LARISA LUCAS MULLINS is 1295566404

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
LARISA LUCAS MULLINS
NPI
1295566404
Phone
Not provided
Address
PO BOX 568
Enumeration Date
9 August 2024
Last Update Date
9 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6065731624
Graduation Year
2024 (2 years ago)
PAC ID
8628519576
Group Practice PAC ID
4587561790
Professional Enrollment ID
I20240919001719
Address ID
KY408311794HA134XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

7,347 NURSE PRACTITIONER in KY

Provider Addresses for LARISA LUCAS MULLINS

  • PO BOX 568

    CORBIN, KY 407020568

    Phone:

    Type: Mailing

  • 1203 AMERICAN GREETING CARD RD

    CORBIN, KY 407014811

    Phone: (606) 528-7010

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $35.

Total Amount is formed as General ($35) + Research ($0) + Ownership ($0) = $35.

Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Alkermes, Inc. ($19).

Total Amount

$35

General + Research + Ownership

Payments

2

Total payment records

General Amount

$35

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Alkermes, Inc.$19
Lundbeck LLC$16
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: 2024-09-19

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
I20240919001719INurse 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 40702)

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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: 4587561790View full group profile
NameSpecialtyState
Mental Health CounselorKY
Mental Health CounselorKY
Clinical PsychologistKY
Marriage And Family TherapistKY
Physician AssistantKY
-KY
-KY
Physician AssistantKY
Mental Health CounselorKY
Nurse PractitionerKY

Reviews

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Frequently asked questions

What federal number belongs to LARISA LUCAS MULLINS?
The federal identifier for LARISA LUCAS MULLINS is NPI 1295566404.
Is LARISA LUCAS MULLINS's NPI currently valid?
The extract we use shows LARISA LUCAS MULLINS as active.
Can you summarize LARISA LUCAS MULLINS's specialty in plain language?
Clinically, the directory lists LARISA LUCAS MULLINS with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for LARISA LUCAS MULLINS?
The page summarizes Corbin, Kentucky for LARISA LUCAS MULLINS; expand the address list for detail.
Is LARISA LUCAS MULLINS a real provider?
This page reflects official NPPES data for NPI 1295566404. Always confirm identity and privileges with the practice and licensing boards.

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