MR. JOHN HARRISON III MULLINS (FNP) – Family Nurse Practitioner, NPI 1104168905

MR. JOHN HARRISON III MULLINS (FNP) is a healthcare provider. based in Johnson city, Tennessee. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 0024170760 (VA). The NPI Number for MR. JOHN HARRISON III MULLINS (FNP) is 1104168905

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
MR. JOHN HARRISON III MULLINS (FNP)
NPI
1104168905
Phone
(423) 431-6561
Address
400 N STATE OF FRANKLIN RD
Enumeration Date
20 March 2013
Last Update Date
16 February 2017

Doctor Profile

Medical School Name
UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Secondary Phone
2764391000
Graduation Year
2012 (14 years ago)
PAC ID
9739329798
Group Practice PAC ID
4183991227
Professional Enrollment ID
I20130905000288
Address ID
VA242731616NO100XXNWXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:13State licenses:2Digital endpointsOther names

10,664 NURSE PRACTITIONER in TN

Provider Addresses for MR. JOHN HARRISON III MULLINS (FNP)

  • 400 N STATE OF FRANKLIN RD

    JOHNSON CITY, TN 376046035

    Phone: (423) 431-6561

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

Total Amount is formed as General ($27) + Research ($0) + Ownership ($0) = $27.

Last reported payment date: 2024-02-22 • Largest payer in this snapshot: Alkermes, Inc. ($27).

Total Amount

$27

General + Research + Ownership

Payments

1

Total payment records

General Amount

$27

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-22

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Alkermes, Inc.$27
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: 2013-09-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-09-30 (985 days ago).

Enrollment records

2

Earliest due date

2023-09-30

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
I20130716000177INurse PractitionerTNTBD
I20130905000288INurse PractitionerVA2023-09-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making9992$0
99285Emergency department visit with high level of medical decision making7974$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only2121$0
View full utilization report →

Insurance plans in this area (ZIP 37604)

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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: 4183991227View full group profile

Reviews

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Frequently asked questions

What federal number belongs to MR. JOHN HARRISON III MULLINS (FNP)?
The federal identifier for MR. JOHN HARRISON III MULLINS (FNP) is NPI 1104168905.
Does this profile mean MR. JOHN HARRISON III MULLINS (FNP) is currently active?
Yes — MR. JOHN HARRISON III MULLINS (FNP) appears active in the national provider directory.
Does MR. JOHN HARRISON III MULLINS (FNP) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for MR. JOHN HARRISON III MULLINS (FNP). Clinical services aligned with this taxonomy classification.
Does MR. JOHN HARRISON III MULLINS (FNP) practice in Tennessee?
You will see Johnson City, Tennessee on file for MR. JOHN HARRISON III MULLINS (FNP) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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