Individual provider Active NPI

Jennifer Mullins, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Erlanger, KY
National Provider Identifier
1174063234
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3011180 Issued in KY
Practice address
820 Dolwick Dr
Erlanger, KY 41018-2774
Phone
(859) 466-0115
Fax
(859) 287-3297
NPI assigned
Mar 8, 2017
Last updated
Sep 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3011180 KY
Family Nurse Practitioner 363LF0000X ARNP.CNP.021601 OH
Family Nurse Practitioner 363LF0000X 3011180 KY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3011180 KY Primary

Addresses

Primary practice location

820 Dolwick Dr
Erlanger, KY 41018-2774

Mailing address

PO Box 635283
Cincinnati, OH 45263-5283
Phone (859) 301-5901

Other practice location 1

334 Thomas More Pkwy
Crestview Hills, KY 41017-3464
Phone (859) 301-5901

Other practice location 2

5836 State Route 133
Batavia, OH 45103-8510
Phone (260) 483-9081

Other practice location 3

7926 Windgate Dr
Louisville, KY 40291-3694
Phone (260) 483-9081

Other practice location 4

3512 Stellhorn Rd
Fort Wayne, IN 46815-4631
Phone (260) 483-9081

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170410001338 KY Practitioner - Nurse Practitioner 1355627134 Reassigns benefits to 4 organizations
I20171011002211 OH Practitioner - Nurse Practitioner 1355627134 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Medical Group IncGroup PAC ID 2163326240, 803 clinicians

Practice addresses (Care Compare)

820 Dolwick Dr
Erlanger, KY 41018-2774
Phone (859) 301-5901

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP.CNP.021601OHMDFamily Nurse Practitioner
3011180KYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group, Inc. CurrentSince Dec 26, 2022 Accepting new patients
PPL Therapeutic Services PLLC Nurse Practitioner CurrentSince Oct 22, 2021 Accepting new patients
360Care Services of Kentucky LLC Nurse Practitioner CurrentSince Jun 3, 2022 Accepting new patients
Vpa PC CurrentSince Aug 28, 2017 Accepting new patients
Vpa PC CurrentSince Aug 28, 2017 Accepting new patients
Community Care Health Network LLC Nurse Practitioner CurrentSince Nov 1, 2025 Accepting new patients
360Care Services of Kentucky LLC Nurse Practitioner CurrentSince Jun 3, 2022 Accepting new patients
Summit Medical Group, Inc Nurse Practitioner CurrentSince Dec 26, 2022 Accepting new patients
360Team Psychiatry LLC Psychiatric/Mental Health CurrentSince Jun 3, 2022 Accepting new patients
Summit Medical Group, Inc. Nurse Practitioner CurrentSince Dec 26, 2022 Accepting new patients
360Team Counseling LLC CurrentSince Jun 3, 2022 Accepting new patients
Vpa PC Current Accepting new patients
Psychiatric Management Services CurrentSince Feb 20, 2021 Accepting new patients
St Elizabeth Medical Center, Inc Past Accepting new patients
Extended Care Specialists, Inc Nurse Practitioner PastSince Oct 6, 2024 Accepting new patients
Home Health of Jefferson Co, LLC PastSince Jul 19, 2021 Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

8465 Keystone Xing
Ste 210
Indianapolis, IN 46240

6105 1st Financial Dr
Burlington, KY 41005
Phone (859) 525-1846

820 Dolwick Dr
Erlanger, KY 41018
Phone (859) 429-5188

100 Carmel Manor Dr
Fort Thomas, KY 41075
Phone (859) 781-5111

1980 Litton Ln
Hebron, KY 41048
Phone (859) 334-8700

12910 Shelbyville Rd
Ste 300
Louisville, KY 40243
Phone (502) 214-0693

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

4350 Brownsboro Rd
Ste 200
Louisville, KY 40207
Phone (513) 771-7483

620 Parker Rd
Maysville, KY 41056
Phone (606) 564-4085

1030 Kentontown Rd
Mount Olivet, KY 41064
Phone (606) 724-5020

300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217

11690 Grooms Rd
Blue Ash, OH 45242
Phone (317) 870-1396

355 E Campus View Blvd
Ste 180
Columbus, OH 43235
Phone (614) 523-2155

740 Commerce Dr
Ste A
Perrysburg, OH 43551
Phone 24852821166

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: jmullins@landmarkhealth-direct.org

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1488931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1174063234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 635283",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452635283",
            "telephone_number": "859-301-5901",
            "fax_number": "859-301-5940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 DOLWICK DR",
            "city": "ERLANGER",
            "state": "KY",
            "postal_code": "410182774",
            "telephone_number": "859-466-0115",
            "fax_number": "859-287-3297"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "334 Thomas More Pkwy",
            "address_purpose": "LOCATION",
            "city": "Crestview Hills",
            "state": "KY",
            "postal_code": "410173464",
            "country_code": "US",
            "telephone_number": "859-301-5901",
            "fax_number": "859-301-5940",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5836 State Route 133",
            "address_purpose": "LOCATION",
            "city": "Batavia",
            "state": "OH",
            "postal_code": "451038510",
            "country_code": "US",
            "telephone_number": "260-483-9081",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7926 Windgate Dr",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402913694",
            "country_code": "US",
            "telephone_number": "260-483-9081",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3512 Stellhorn Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468154631",
            "country_code": "US",
            "telephone_number": "260-483-9081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "JENNIFER",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-08",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3011180",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "ARNP.CNP.021601",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3011180",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3011180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erlanger, KY

Sources for this page

Verify at the official NPI Registry.