LISA MARIE MULLEN (MD) – Family Medicine Physician, NPI 1629364377

LISA MARIE MULLEN (MD) is a healthcare provider. based in Buffalo, Wyoming. specializing in OBSTETRICS/GYNECOLOGY, FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. MR-1172 (ID). The NPI Number for LISA MARIE MULLEN (MD) is 1629364377

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
LISA MARIE MULLEN (MD)
NPI
1629364377
Phone
(307) 684-2228
Address
497 W LOTT ST
Enumeration Date
21 June 2011
Last Update Date
16 February 2015

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
3076842228
Graduation Year
2011 (15 years ago)
PAC ID
9436396272
Group Practice PAC ID
1557344371
Professional Enrollment ID
I20140925001204
Address ID
WY828341658BU497XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:14State licenses:2Digital endpointsOther names

74 OBSTETRICS/GYNECOLOGY in WY

Provider Addresses for LISA MARIE MULLEN (MD)

  • 497 W LOTT ST

    BUFFALO, WY 828341658

    Phone: (307) 684-2228

    Fax: (307) 684-2177

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $267.

Total Amount is formed as General ($267) + Research ($0) + Ownership ($0) = $267.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($50).

Total Amount

$267

General + Research + Ownership

Payments

14

Total payment records

General Amount

$267

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2014-09-25

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
I20140925001204IFamily PracticeWYTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2713$0
View full utilization report →

Insurance plans in this area (ZIP 82834)

Loading plans...

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: 1557344371View full group profile
NameSpecialtyState
Family PracticeWY
Physician AssistantWY
Osteopathic Manipulative Medicine, Family PracticeWY
Physician AssistantWY
Physician AssistantWY
Family PracticeWY
Family PracticeWY
-WY
Emergency MedicineWY
Physician AssistantMN

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is LISA MARIE MULLEN (MD) listed with a National Provider Identifier?
Yes — LISA MARIE MULLEN (MD) has NPI 1629364377 on file in the registry.
Is LISA MARIE MULLEN (MD) shown as active in public data?
Registry records indicate LISA MARIE MULLEN (MD) maintains an active NPI.
What area of care is associated with LISA MARIE MULLEN (MD)?
LISA MARIE MULLEN (MD)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with LISA MARIE MULLEN (MD)?
Directory geography for LISA MARIE MULLEN (MD) centers on Buffalo, Wyoming.
When was this NPI issued?
Enumeration for LISA MARIE MULLEN (MD) is noted as June 21, 2011 where the registry provides it.

Similar Providers

MR. LAWRENCE EDWARD KIRVEN (MD)

Family Medicine Physician
Johnson County Memorial Hospital, 497, West Lott Street, Buffalo, Johnson County, Wyoming, 82834, United States
NPI: 1346228483

MR. BRIAN MITCHELL DARNELL (DO)

Family Medicine Physician
Johnson County Memorial Hospital, 497, West Lott Street, Buffalo, Johnson County, Wyoming, 82834, United States
NPI: 1225016280

MR. AUBREY DOZIER TABB (MD)

Family Medicine Physician
Hillside Drive, Bricker Crossroads, Buffalo Township, Butler County, Pennsylvania, 16055, United States
NPI: 1316925456

Unknown Individual

Family Medicine Physician
Johnson County Memorial Hospital, 497, West Lott Street, Buffalo, Johnson County, Wyoming, 82834, United States
NPI: 1306824446

MR. MARK STEVEN SCHUELER (MD)

Family Medicine Physician
Johnson County Memorial Hospital, 497, West Lott Street, Buffalo, Johnson County, Wyoming, 82834, United States
NPI: 1346228475

MR. HERMILO JR. GONZALEZ (MD)

Family Medicine Physician
Johnson County Memorial Hospital, 497, West Lott Street, Buffalo, Johnson County, Wyoming, 82834, United States
NPI: 1023096153

BIG HORN PEDIATRICS

Pediatrics Physician
106 West Angus
NPI: 1477660447
Johnson County Memorial Hospital, 497, West Lott Street, Buffalo, Johnson County, Wyoming, 82834, United States
NPI: 1336229624

DR. LATANIA AKERS-WHITE (M.D.)

Family Medicine Physician
7400 Beaufont Springs Dr Ste 300
NPI: 1750571691