KATHRYN L MULLEN (PA) – Physician Assistant, NPI 1689650871
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,366 PHYSICIAN ASSISTANT in MD
Provider Addresses for KATHRYN L MULLEN (PA)
3500 Boston St Ste J1
Baltimore, MD 212245723
Phone: (410) 522-0001
Fax: (510) 522-0017
Type: Location
Boston Street, Canton, Baltimore, Maryland, 21224, United States
BALTIMORE, MD 212245723
Phone: (410) 522-0001
Fax: (410) 522-0017
Type: Mailing
Baltimore Washington Medical Center, 301, Hospital Drive, Dundee, Anne Arundel County, Maryland, 21061, United States
GLEN BURNIE, MD 210615803
Phone: (410) 787-4341
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $22.
Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.
Last reported payment date: 2024-01-30 • Largest payer in this snapshot: Solventum Corporation ($22).
Total Amount
$22
General + Research + Ownership
Payments
1
Total payment records
General Amount
$22
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Solventum Corporation | $22 |
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: 2005-04-28
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 |
|---|---|---|---|---|
| I20050428000346 | I | Physician Assistant | MD | 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 21224)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | MD | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 39 | 38 |
Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology, Interventional Radiology | TX | |
| - | MD | |
| - | MD | |
| General Surgery | MD | |
| - | MD | |
| U R O L O G Y | OH | |
| N E U R O L O G Y | MD | |
| - | MD | |
| Qualified Audiologist | MD | |
| - | MD |
Reviews
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