DR. MICHELLE M MULDER (M.D.) – Obstetrics Physician, NPI 1588660997
Obstetrics Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
788 OBSTETRICS/GYNECOLOGY in AZ
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Provider Addresses for DR. MICHELLE M MULDER (M.D.)
5318 STONEMILL CIR
CORPUS CHRISTI, TX 784134623
Phone: (361) 500-8488
Type: Mailing
5171, Cub Lake Road, Show Low, Navajo County, Arizona, 85901, United States
SUITE B210
SHOW LOW, AZ 859017888
Phone: (928) 537-0635
Fax: (928) 532-8957
Type: Mailing
4567 E 9TH AVE
DENVER, CO 802203941
Phone: (303) 320-2121
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 $3.
Total Amount is formed as General ($3) + Research ($0) + Ownership ($0) = $3.
Last reported payment date: 2024-01-04 • Largest payer in this snapshot: Organon LLC ($3).
Total Amount
$3
General + Research + Ownership
Payments
1
Total payment records
General Amount
$3
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organon LLC | $3 |
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: 2025-10-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20040820000170 | I | Obstetrics/Gynecology | TX | TBD |
| I20250106003995 | I | Obstetrics/Gynecology | FL | TBD |
| I20251015004241 | I | Obstetrics/Gynecology | CO | 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 78413)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | CO | |
| General Surgery | CO | |
| Clinical Social Worker | CO | |
| Physician Assistant | CO | |
| Sports Medicine, Family Practice | OK | |
| Nurse Practitioner | CO | |
| Certified Registered Nurse Anesthetist (Crna) | CO | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Nurse Practitioner | CO | |
| Nurse Practitioner | CO |
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