AUDRINA ALEXIS MULLANE (PH.D.) – Clinical Neuropsychologist, NPI 1275790461
Clinical Neuropsychologist
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Profile Insights
NPPES metrics only — not quality of care.
650 CLINICAL PSYCHOLOGIST in OR
Provider Addresses for AUDRINA ALEXIS MULLANE (PH.D.)
PO BOX 3755
OMAHA, NE 681030755
Phone: (402) 354-2100
Fax: (402) 354-2155
Type: Mailing
PO BOX 1188
CORVALLIS, OR 973391188
Phone:
Type: Mailing
534 PLEASANT VIEW WAY NW STE 200
ALBANY, OR 973211789
Phone: (541) 812-5760
Type: Location
8901 W DODGE RD STE 210
OMAHA, NE 681143321
Phone: (402) 354-3152
Fax: (402) 354-8720
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.
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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: 2022-05-31
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20220531002294 | I | Clinical Psychologist | NE | 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 68103)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IA | |
| N E U R O L O G Y | NE | |
| Family Practice, Hospitalist | IA | |
| Nurse Practitioner | NE | |
| - | NE | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NH | |
| N E U R O L O G Y | NE | |
| Family Practice | NE | |
| Family Practice | NE | |
| Cardiovascular Disease (Cardiology), Internal Medicine | NE |
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