Individual provider Active NPI

Laurelin Mullins, RN, FNP-C

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1093727240
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
643821 Issued in TX
Practice address
2200 Park Bend Dr BLDG 2-204
Austin, TX 78758-5584
Phone
(855) 481-8375
NPI assigned
Aug 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 643821 TX Primary

Addresses

Primary practice location

2200 Park Bend Dr BLDG 2-204
Austin, TX 78758-5584

Mailing address

4616 W Howard LN
Austin, TX 78731

Other identifiers 2

IdentifierTypeStateIssuer
369884701MedicaidTX
568146YMGJOtherTXMEDICARE

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
I20070507000670 TX Practitioner - Nurse Practitioner 8325144348 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Harbor Health Medical GroupGroup PAC ID 8921482597, 46 clinicians

Practice addresses (Care Compare)

505 W Louis Henna Blvd
Suite 100
Austin, TX 78728-1702
Phone (855) 481-8375

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Health Medical Group CurrentSince Aug 1, 2023 Accepting new patients

Locations

505 W Louis Henna Blvd
Ste 100
Austin, TX 78728
Phone (512) 252-1505

2200 Park Bend Dr
Ste 300
Austin, TX 78758
Phone (512) 371-6398

911 W 38th St
Ste 101
Austin, TX 78705
Phone (512) 600-2888

177 Kirkham Cir
Kyle, TX 78640
Phone (512) 405-0077

511 Oakwood Blvd
Ste 200
Round Rock, TX 78681
Phone (512) 246-2262

Interoperability endpoints

  • Direct secure messaging: laurelin.mullins.1@28292.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/28292/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1093727240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4616 W HOWARD LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 PARK BEND DR BLDG 2-204",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585584",
            "telephone_number": "855-481-8375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "LAURELIN",
        "credential": "RN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "643821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "369884701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "568146YMGJ",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.