DR. JENNIFER MULLEN (DPT) – Physical Therapist, NPI 1467249052

DR. JENNIFER MULLEN (DPT) is a healthcare provider. based in Columbia, Missouri. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 2018028501 (). The NPI Number for DR. JENNIFER MULLEN (DPT) is 1467249052

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. JENNIFER MULLEN (DPT)
NPI
1467249052
Phone
(573) 881-5498
Address
810 W GREEN MEADOWS RD
Enumeration Date
24 April 2025
Last Update Date
24 April 2025

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Secondary Phone
5736810447
Graduation Year
2018 (8 years ago)
PAC ID
6800307653
Group Practice PAC ID
1850543711
Professional Enrollment ID
I20250618000627
Address ID
MO651014303JE1739XCTXX304
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness75
Years active:1State licenses:1Digital endpointsOther names

1,533 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MO

Provider Addresses for DR. JENNIFER MULLEN (DPT)

  • 810 W GREEN MEADOWS RD

    COLUMBIA, MO 652033010

    Phone: (573) 881-5498

    Type: Mailing

  • 3600 COUNTRY CLUB DR STE 530B

    JEFFERSON CITY, MO 651091060

    Phone: (573) 606-7100

    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: 2025-06-18

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
I20250618000627IPhysical Therapist In Private PracticeMOTBD

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 65203)

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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: 1850543711View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMO
Physical Therapist In Private PracticeMO
Occupational Therapist In Private PracticeIL
Physical Therapist In Private PracticeMO
Physical Therapist In Private PracticeMO
Physical Therapist In Private PracticeMO
Physical Therapist In Private PracticeMO

Reviews

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Frequently asked questions

Can I cross-check DR. JENNIFER MULLEN (DPT) using NPI 1467249052?
NPI 1467249052 belongs to DR. JENNIFER MULLEN (DPT); compare other details if you need extra assurance.
Is DR. JENNIFER MULLEN (DPT) shown as active in public data?
Registry records indicate DR. JENNIFER MULLEN (DPT) maintains an active NPI.
What expertise is attributed to DR. JENNIFER MULLEN (DPT)?
DR. JENNIFER MULLEN (DPT)'s specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
Is DR. JENNIFER MULLEN (DPT) associated with Columbia?
Public fields place DR. JENNIFER MULLEN (DPT) around Columbia, Missouri. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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