WILLIAM MULLEN (MD) – Cardiovascular Disease Physician, NPI 1457362329

WILLIAM MULLEN (MD) is a healthcare provider. based in Jackson, Wyoming. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY), INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. A43317 (CA). The NPI Number for WILLIAM MULLEN (MD) is 1457362329

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
WILLIAM MULLEN (MD)
NPI
1457362329
Phone
(307) 739-7690
Address
PO BOX 428
Enumeration Date
10 August 2006
Last Update Date
22 October 2025

Doctor Profile

Medical School Name
TULANE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6502545200
Graduation Year
1984 (42 years ago)
PAC ID
0345234290
Group Practice PAC ID
4284538778
Professional Enrollment ID
I20040413000870
Address ID
CA940221404LO370XXCIRX300

Contacts

Secure Messaging
wmullen@sjmc.cernerdirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness95
Years active:19State licenses:1Other names

31 CARDIOVASCULAR DISEASE (CARDIOLOGY) in WY

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Provider Addresses for WILLIAM MULLEN (MD)

  • 428, Works Road, Jackson, Waldo County, Maine, United States

    JACKSON, WY 830010428

    Phone: (307) 739-7690

    Fax: (307) 739-7960

    Type: Mailing

  • 229, East Broadway Avenue, Jackson, Teton County, Wyoming, 83001, United States

    JACKSON, WY 83001

    Phone: (307) 739-7690

    Fax: (307) 739-4960

    Type: Location

  • PO BOX 276950

    SACRAMENTO, CA 958276950

    Phone:

    Type: Mailing

  • 2441 MISSION COLLEGE BLVD

    SANTA CLARA, CA 950541214

    Phone: (800) 478-8837

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $109.

Total Amount is formed as General ($109) + Research ($0) + Ownership ($0) = $109.

Last reported payment date: 2023-11-27 • Largest payer in this snapshot: Boston Scientific Corporation ($55).

Total Amount

$109

General + Research + Ownership

Payments

5

Total payment records

General Amount

$109

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-27

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2004-04-13

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
I20040413000870ICardiovascular Disease (Cardiology)CATBD

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
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function386379$0
99214Established patient office or other outpatient visit, 30-39 minutes342270$0
93294Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days13359$0
99205New patient office or other outpatient visit, 60-74 minutes110110$0
99215Established patient office or other outpatient visit, 40-54 minutes10480$0
View full utilization report →

Insurance plans in this area (ZIP 83001)

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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: 4284538778View full group profile
NameSpecialtyState
D E R M A T O L O G YCA
A L L E R G Y/ I M M U N O L O G YCA
-CA
Hospitalist, Obstetrics/GynecologyCA
O B S T E T R I C S/ G Y N E C O L O G YOR
-CA
-CA
-CA
-CA
A N E S T H E S I O L O G YCA

Reviews

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Frequently asked questions

What is the standard ID for WILLIAM MULLEN (MD) in the U.S.?
In the U.S., WILLIAM MULLEN (MD) is identified by NPI 1457362329.
Is WILLIAM MULLEN (MD) currently accepting referrals based on NPI status?
Registry metadata lists WILLIAM MULLEN (MD) as active.
How should patients interpret WILLIAM MULLEN (MD)'s specialty?
The extract shows Cardiovascular Disease Physician for WILLIAM MULLEN (MD). Clinical services aligned with this taxonomy classification.
What geographic area is tied to WILLIAM MULLEN (MD)?
WILLIAM MULLEN (MD) is associated with Jackson, Wyoming in the same public data insurers reference.
Can I export WILLIAM MULLEN (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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