KATHRYN L MULLEN (PA) – Physician Assistant, NPI 1689650871

KATHRYN L MULLEN (PA) is a healthcare provider. based in Baltimore, Maryland. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA30076 (DC). The NPI Number for KATHRYN L MULLEN (PA) is 1689650871

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
KATHRYN L MULLEN (PA)
NPI
1689650871
Phone
(410) 522-0001
Address
3500 Boston St Ste J1
Enumeration Date
20 December 2005
Last Update Date
6 May 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1998 (28 years ago)
PAC ID
6204800808
Group Practice PAC ID
3678472214
Professional Enrollment ID
I20050428000346
Address ID
MD210615801GL255XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

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

CompanyAmount
Solventum Corporation$22
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: 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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050428000346IPhysician AssistantMDTBD

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 21224)

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Provider's Procedures

KATHRYN L MULLEN (PA) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTMD93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report3938

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: 3678472214View full group profile

Reviews

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Frequently asked questions

How do I look up KATHRYN L MULLEN (PA) by NPI?
Use NPI 1689650871 when you need to reference KATHRYN L MULLEN (PA) in forms, claims, or directories.
Is KATHRYN L MULLEN (PA)'s NPI currently valid?
The extract we use shows KATHRYN L MULLEN (PA) as active.
Can you summarize KATHRYN L MULLEN (PA)'s specialty in plain language?
Clinically, the directory lists KATHRYN L MULLEN (PA) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Does KATHRYN L MULLEN (PA) practice in Maryland?
You will see Baltimore, Maryland on file for KATHRYN L MULLEN (PA) alongside any extra practice locations.
How can I contact KATHRYN L MULLEN (PA)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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