Kylie Mullin
Individual provider Active NPI Family Nurse Practitioner · Baker, WV
NPI 1104775337 · NPPES record last updated Jan 22, 2026
Key facts
- NPI
- 1104775337
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 113250 (WV)
- Practice address
- 17978 State Road 55
Baker, WV 26801-8626 - Phone
- (304) 897-5915
- NPI assigned
- Jan 22, 2026
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
PO Box
Suite 97
Baker, WV 26801
PO Box
Suite 97
Baker, WV 26801-0097
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260212001876 | WV | Practitioner - Nurse Practitioner | 9436638111 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 113250 | WV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| E.a. Hawse Health Center Inc | Current |
Accepting new patients | |
| E. a. Hawse Health Center, Inc. | Current |
Accepting new patients | |
| E.a. Hawse Health Center Inc. | Past | Accepting new patients |
Locations
17978 State Road 55
Baker, WV 26801
Phone (304) 897-8220
422 S Main St
Moorefield, WV 26836
Phone (304) 538-2331
345 Caledonia Heights Rd
Moorefield, WV 26836
Phone (304) 530-3450
400 N Main St
Moorefield, WV 26836
Phone (304) 530-6356
296 Calvert Dr
Romney, WV 26757
157 Trojan Way
Romney, WV 26757
45 School St
Romney, WV 26757
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 113250 | WV | Yes |
Addresses
Primary practice location
17978 State Road 55
Baker, WV 26801-8626
Mailing address
17978 State Road 55
Baker, WV 26801-8626
Phone (304) 897-5915
Other providers in Baker, WV
- Rebecca Nicole King
- Garrett Isaac Long III
- Sarah Marie Ludwig
- Samantha Markwood
- Jacob Lane Metheny
- Amy Teresa Phebus
- Kenneth Oved Powers Jr.
- Adanna Dee Richman
- Carrie A. Rogers
- Route 55 Leasing Co., LLC
All providers in Baker, WV · Family Nurse Practitioner in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.