JENNIFER JEAN MULLIS (APRN) – Acute Care Nurse Practitioner, NPI 1043891138

JENNIFER JEAN MULLIS (APRN) is a healthcare provider. based in Dallas, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 1033075 (TX). The NPI Number for JENNIFER JEAN MULLIS (APRN) is 1043891138

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER JEAN MULLIS (APRN)
NPI
1043891138
Phone
(214) 810-2513
Address
303 S BRISCOE BLVD
Enumeration Date
20 April 2021
Last Update Date
20 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
214960568175
Graduation Year
2020 (6 years ago)
PAC ID
8325447550
Group Practice PAC ID
2163679200
Professional Enrollment ID
I20210520001549
Address ID
TX752082312DA221XXBLVD412
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for JENNIFER JEAN MULLIS (APRN)

  • 303 S BRISCOE BLVD

    DALLAS, TX 752112742

    Phone: (214) 810-2513

    Type: Mailing

  • 1441 N BECKLEY AVE

    DALLAS, TX 752031201

    Phone: (817) 821-2507

    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: 2021-05-20

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
I20210520001549INurse PractitionerTXTBD

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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99291Critical care, first 30-74 minutes4941$0
View full utilization report →

Insurance plans in this area (ZIP 75211)

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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: 2163679200View full group profile
NameSpecialtyState
Nurse PractitionerTX
Neurology, Critical Care (Intensivists)TX
Nurse PractitionerTX
Nurse PractitionerTX
-TX
Nurse PractitionerOR
Nurse PractitionerAL
Nurse PractitionerTX
Critical Care (Intensivists), Pulmonary DiseaseTX
Internal Medicine, Critical Care (Intensivists), Critical Care (Intensivists)TX

Reviews

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Frequently asked questions

Is JENNIFER JEAN MULLIS (APRN) listed with a National Provider Identifier?
Yes — JENNIFER JEAN MULLIS (APRN) has NPI 1043891138 on file in the registry.
Active or inactive — what applies to JENNIFER JEAN MULLIS (APRN)?
You should see JENNIFER JEAN MULLIS (APRN) as active in CMS-hosted NPPES data.
What area of care is associated with JENNIFER JEAN MULLIS (APRN)?
JENNIFER JEAN MULLIS (APRN)'s record emphasizes Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is JENNIFER JEAN MULLIS (APRN) associated with Dallas?
Public fields place JENNIFER JEAN MULLIS (APRN) around Dallas, Texas. 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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