NPIMap

Individual provider Active NPI

Mary Ellen Mullins, NP

  • Nurse Practitioner
  • Centennial, CO
National Provider Identifier
1073641049
Registry record updated Oct 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4958 Issued in CO
Practice address
14100 E Arapahoe Rd
Suite 170
Centennial, CO 80112-4028
Phone
(303) 699-3190
NPI assigned
Mar 1, 2007
Last updated
Oct 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4958 CO Primary

Addresses

Primary practice location

14100 E Arapahoe Rd
Suite 170
Centennial, CO 80112-4028

Mailing address

14100 E Arapahoe Rd
Suite 170
Centennial, CO 80112-4028
Phone (303) 699-3190

Other names 1

  • Ms. Mary Ellen Mullins Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141231000651 CO Practitioner - Nurse Practitioner 3476876244 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr. Willard's Family Practice, P.C.Group PAC ID 2365765765, 3 clinicians

Practice addresses (Care Compare)

14100 E Arapahoe Rd
Suite 170
Centennial, CO 80112-4048
Phone (303) 699-3190

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90 of 100Reported as group
Quality
100
Improvement activities
40
Cost
66.67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4958COMDNeuromusculoskeletal Medicine & OMM Physician

Organizations & group practices 1

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 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792108800000",
    "number": "1073641049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14100 E ARAPAHOE RD",
            "address_2": "SUITE 170",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801124028",
            "telephone_number": "303-699-3190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14100 E ARAPAHOE RD",
            "address_2": "SUITE 170",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801124028",
            "telephone_number": "303-699-3190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "MARY",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2026-10-16",
        "certification_date": "2026-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "4958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "MULLINS",
            "middle_name": "ELLEN",
            "prefix": "MS.",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Centennial, CO

Sources for this page

Verify at the official NPI Registry.