MALLORY NICOLE MULLINS – Family Nurse Practitioner, NPI 1992209324

MALLORY NICOLE MULLINS is a healthcare provider. based in Lexington, Kentucky. specializing in NURSE PRACTITIONER. They hold a License No. 3012151 (KY). The NPI Number for MALLORY NICOLE MULLINS is 1992209324

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
MALLORY NICOLE MULLINS
NPI
1992209324
Phone
Not provided
Address
3175 BEAUMONT CENTRE CIR
Enumeration Date
21 March 2018
Last Update Date
11 February 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8593688820
Graduation Year
2017 (9 years ago)
PAC ID
5092070839
Group Practice PAC ID
3274965272
Professional Enrollment ID
I20180529002635
Address ID
KY405053155LE1420XBROA300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

7,347 NURSE PRACTITIONER in KY

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Provider Addresses for MALLORY NICOLE MULLINS

  • 3175, Beaumont Centre Circle, Indian Hills, Lexington, Fayette County, Kentucky, 40390:40513, United States

    LEXINGTON, KY 405131957

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 27 Open Payments records for all available years, with a total value of $852.

Total Amount is formed as General ($852) + Research ($0) + Ownership ($0) = $852.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: ABBVIE INC. ($463).

Total Amount

$852

General + Research + Ownership

Payments

27

Total payment records

General Amount

$852

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

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: 2018-05-29

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
I20180529002635INurse 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 40513)

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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: 3274965272View full group profile
NameSpecialtyState
Internal MedicineKY
Internal MedicineKY
Clinical Social WorkerKY
Internal Medicine, RheumatologyKY
Nurse PractitionerKY

Reviews

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Frequently asked questions

What federal number belongs to MALLORY NICOLE MULLINS?
The federal identifier for MALLORY NICOLE MULLINS is NPI 1992209324.
Is MALLORY NICOLE MULLINS's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does MALLORY NICOLE MULLINS treat or focus on?
Patients typically see MALLORY NICOLE MULLINS under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for MALLORY NICOLE MULLINS?
We surface Lexington, Kentucky for MALLORY NICOLE MULLINS based on available NPPES addresses.
How can I contact MALLORY NICOLE MULLINS?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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