Active NPI
Gabriel Mullins, CRNA
- Certified Registered Nurse Anesthetist
- Flint, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704291932
- Practice address
- 1 Hurley PLZ
Flint, MI 48503-5902 - Phone
- (517) 740-8810
- NPI assigned
- Sep 13, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704291932 | MI | |
| Certified Registered Nurse Anesthetist | 367500000X | 4704291932 | MI | Primary |
Addresses
Primary practice location
1 Hurley PLZ
Flint, MI 48503-5902
Mailing address
1 Hurley PLZ
Flint, MI 48503-5902
Phone (517) 740-8810
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, CA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190125002979 | FL | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 9537457742 | Reassigns benefits to 3 organizations |
| I20260430002405 | CA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 9537457742 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11616 Lake Underhill Rd
Suite 215
Orlando, FL 32825-4465
Phone (407) 482-7788
275 Hospital Dr
Ukiah, CA 95482-4531
Phone (707) 462-3111
401 Corbett St
Belleair, FL 33756-7309
Phone (727) 443-0100
Hospital & facility affiliations
- Adventist Health Ukiah Valley
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704291932 | MI | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinellas County Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Baycare Medical Group, Inc. | Current | Accepting new patients | |
| Baycare Medical Group, Inc | Current | Accepting new patients | |
| Umass Memorial Medical Group Inc | Past | Accepting new patients | |
| Mountain Communities Healthcare District | Past | Accepting new patients | |
| Mountain Communities Healthcare District | Past | Accepting new patients |
Locations
401 Corbett St
Ste 220
Belleair, FL 33756
Phone (727) 388-7326
665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636
300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552
2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060
616 E St
Ste A
Clearwater, FL 33756
Phone (727) 447-0888
616 E St
Clearwater, FL 33756
Phone (727) 443-0611
6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023
8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757
9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210
6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300
11616 Lake Underhill Rd
Ste 215
Orlando, FL 32825
Phone (407) 601-5308
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
FL, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Dunedin, FL
- NPI 1780253419
FL, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Ukiah, CA
- NPI 1003458704
CA
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1497117329
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1659720837
-
- Medicare Defined Swing Bed Hospital Unit
- Weaverville, CA
- NPI 1407027568
-
- Critical Access Hospital
- Weaverville, CA
- NPI 1750462271
-
- Internal Medicine Physician
- Worcester, MA
- NPI 1760445373
Hospital & facility affiliations 1
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": "1473724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474416000000",
"number": "1013465624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HURLEY PLZ",
"city": "FLINT",
"state": "MI",
"postal_code": "485035902",
"telephone_number": "517-740-8810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HURLEY PLZ",
"city": "FLINT",
"state": "MI",
"postal_code": "485035902",
"telephone_number": "517-740-8810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLINS",
"first_name": "GABRIEL",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-13",
"last_updated": "2016-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704291932",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704291932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.