Individual provider Active NPI

Nicole L Mullins, CNP

  • Adult Health Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1235388083
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
COA1026NP Issued in OH
Practice address
2123 Auburn Ave
Ste 401
Cincinnati, OH 45219-2906
Phone
(513) 241-5489
Fax
(513) 241-5490
NPI assigned
Sep 17, 2008
Last updated
Oct 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X COA1026NP OH Primary

Addresses

Primary practice location

2123 Auburn Ave
Ste 401
Cincinnati, OH 45219-2906

Mailing address

2123 Auburn Ave
Ste 401
Cincinnati, OH 45219-2906
Phone (513) 241-5489

Other identifiers 2

IdentifierTypeStateIssuer
2957895MedicaidOH
7100062390MedicaidKY

Other names 1

  • Nicole L Johnson Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nmullins33275@direct.thechristhospital.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20081124000017 OH Practitioner - Nurse Practitioner 3375603293 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Christ Hospital Cardiovascular Associates LLCGroup PAC ID 1658449715, 151 clinicians

Practice addresses (Care Compare)

2123 Auburn Ave
Cincinnati, OH 45219-2906

2139 Auburn Ave
Cincinnati, OH 45219-2906
Phone (513) 585-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.59 of 100Reported as group
Quality
77.64
Promoting interoperability
100
Improvement activities
40
Cost
77.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA1026NPOHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Christ Hospital Cardiovascular Associates LLC Adult Health CurrentSince Aug 2, 2010 Accepting new patients
Christ Hospital Cardiology Assoc Past Accepting new patients
Cardiovascular & Thoracic Surgeons, Inc. Past Accepting new patients

Locations

2123 Auburn Ave
Ste 136
Cincinnati, OH 45219
Phone (513) 206-1060

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6293/brand/1/csg/1/fhir/r4
  • Direct secure messaging: nimullin@yourcarecommunity.org

Organizations & group practices 3

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1235388083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 AUBURN AVE",
            "address_2": "STE 401",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192906",
            "telephone_number": "513-241-5489",
            "fax_number": "513-241-5490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 AUBURN AVE",
            "address_2": "STE 401",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192906",
            "telephone_number": "513-241-5489",
            "fax_number": "513-241-5490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "NICOLE",
        "middle_name": "L",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-17",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "COA1026NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2957895",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100062390",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nmullins33275@direct.thechristhospital.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2123 Auburn Ave",
            "address_2": "Ste 401",
            "city": "Cincinnati",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452192906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "JOHNSON",
            "middle_name": "L",
            "credential": "CNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.