Individual provider Active NPI

Sherry Michele Mullins, PA-C

  • Physician Assistant
  • San Antonio, TX
National Provider Identifier
1013357144
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
603 E Amber St Ste 101
San Antonio, TX 78221-2456
Phone
(210) 610-7283
Fax
(830) 331-8718
NPI assigned
Jul 3, 2013
Last updated
Nov 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X TX Primary

Addresses

Primary practice location

603 E Amber St Ste 101
San Antonio, TX 78221-2456

Mailing address

603 E Amber St Ste 101
San Antonio, TX 78221-2456
Phone (210) 610-7283

Other identifiers 1

IdentifierTypeStateIssuer
8786NNOtherTXBC PIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address thesaveclinic@direct-address.net Direct San Antonio Vascular and Endovascular Clinic PLLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150324001242 TX Practitioner - Physician Assistant 0941420806 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Usacs Integrated Acute Care Services of Texas, PLLCGroup PAC ID 7618237264, 398 clinicians

Practice addresses (Care Compare)

1401 Medical Pkwy
Cedar Park, TX 78613-7763
Phone (512) 528-7000

260 Cully Dr
Kerrville, TX 78028-5950
Phone (830) 258-7747

551 Hill Country Dr
Kerrville, TX 78028-6085
Phone (830) 896-4200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.55 of 100Reported as group
Quality
70.56
Improvement activities
40
Cost
72.48

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sid Peterson Memorial Hospital Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: thesaveclinic@direct-address.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1372809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1013357144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 E AMBER ST STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782212456",
            "telephone_number": "210-610-7283",
            "fax_number": "830-331-8718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 E AMBER ST STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782212456",
            "telephone_number": "210-610-7283",
            "fax_number": "830-331-8718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "SHERRY",
        "middle_name": "MICHELE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-03",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC PIN",
            "identifier": "8786NN",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thesaveclinic@direct-address.net",
            "affiliation": "Y",
            "affiliationName": "San Antonio Vascular and Endovascular Clinic PLLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "603 E Amber St Ste 101",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782212456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.