Kylie Mullin

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

113250 Issued in WV

Practice address

17978 State Road 55
Baker, WV 26801-8626

Phone

(304) 897-5915

NPI assigned

Jan 22, 2026

Last updated

Jan 22, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

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

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• E.a. Hawse Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Baker, WV
  • NPI 1851359251
  Medicare reassignment NPD
• E. a. Hawse Health Center, Inc.

  • Community Health Clinic/Center
  • Moorefield, WV
  • NPI 1417437591
  NPD
• E.a. Hawse Health Center Inc.

  dba Hawse Health Center

  • Federally Qualified Health Center (FQHC)
  • Mathias, WV
  • NPI 1225096027
  NPD (past)

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

{
    "created_epoch": "1769040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1104775337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17978 STATE ROAD 55",
            "city": "BAKER",
            "state": "WV",
            "postal_code": "268018626",
            "telephone_number": "304-897-5915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17978 STATE ROAD 55",
            "city": "BAKER",
            "state": "WV",
            "postal_code": "268018626",
            "telephone_number": "304-897-5915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLIN",
        "first_name": "KYLIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-22",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "113250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Nicole King, LGSW
• Garrett Isaac Long III, DDS
• Sarah Marie Ludwig, LPC
• Samantha Markwood
• Jacob Lane Metheny, DC
• Amy Teresa Phebus, PA-C
• Kenneth Oved Powers Jr., MSW, LICSW
• Adanna Dee Richman, RPH
• Carrie A. Rogers, LPC
• Route 55 Leasing Co., LLC (E. A. Hawse Healthcare Center)

• Family Nurse Practitioner in Baker, WV
• Providers in Baker, WV by specialty
• Family Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.