EDNA ROTHMAN MULLALLY (DNP, FNP-C) – Registered Nurse, NPI 1629687553
Registered Nurse
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for EDNA ROTHMAN MULLALLY (DNP, FNP-C)
6 FAWN CREST DR
NEW FAIRFIELD, CT 068123134
Phone: (203) 947-2861
Type: Mailing
1073 N BENSON RD
FAIRFIELD, CT 068245195
Phone: (203) 254-4000
Type: Location
PO BOX 2287
KITTY HAWK, NC 279492287
Phone: (252) 261-4187
Fax: (833) 989-2346
Type: Mailing
5200 N CROATAN HWY
KITTY HAWK, NC 279493990
Phone: (252) 261-4187
Fax: (833) 989-2346
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $141.
Total Amount is formed as General ($141) + Research ($0) + Ownership ($0) = $141.
Last reported payment date: 2023-10-24 • Largest payer in this snapshot: Dexcom, Inc. ($128).
Total Amount
$141
General + Research + Ownership
Payments
7
Total payment records
General Amount
$141
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dexcom, Inc. | $128 |
| AstraZeneca Pharmaceuticals LP | $13 |
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: 2023-01-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230120000971 | I | Nurse Practitioner | NC | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 81 | 52 | $0 |
| 96127 | Assessment of emotional or behavioral problems | 30 | 30 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 22 | 22 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 19 | 17 | $0 |
Insurance plans in this area (ZIP 06812)
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