Individual provider Active NPI

Anna Komer Mulac, FNP-BC

  • Family Nurse Practitioner
  • Virginia Beach, VA
National Provider Identifier
1245028356
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024192681 Issued in VA
Practice address
5249 Providence Rd
Virginia Beach, VA 23464-4201
Phone
(757) 467-3900
Fax
(757) 467-7800
NPI assigned
Apr 28, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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 0024192681 VA Primary

Addresses

Primary practice location

5249 Providence Rd
Virginia Beach, VA 23464-4201

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Other practice location 1

2206 Executive Dr Ste F
Hampton, VA 23666-2583
Phone (757) 825-1440

Other practice location 2

525 S Independence Blvd Ste 215
Virginia Beach, VA 23452-1188
Phone (757) 467-3900

Other practice location 3

4632 Truman Ln
Virginia Beach, VA 23455-4844
Phone (412) 432-9564

Other names 1

  • Anna Komer Other name

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address Anna.Mulac@forefrontdermatology.emadirect.md
Direct Messaging Address Anna.Mulac@forefrontdermatology.emadirect.md
Direct Messaging Address Anna.Mulac@forefrontdermatology.emadirect.md

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20250814004715 VA Practitioner - Nurse Practitioner 7012416373 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

5249 Providence Rd
Virginia Beach, VA 23464-4201
Phone (757) 467-3900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024192681VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. CurrentSince Jun 9, 2025 Accepting new patients
Forefront Dermatology, S.C. CurrentSince Jun 9, 2025 Accepting new patients

Locations

5201 Hickory Park Dr
Ste A
Glen Allen, VA 23059
Phone (804) 262-6060

2206 Executive Dr
Ste F
Hampton, VA 23666
Phone (757) 825-1440

525 S Independence Blvd
Ste 215
Virginia Beach, VA 23452
Phone (757) 467-3900

5249 Providence Rd
Virginia Beach, VA 23464
Phone (757) 467-3900

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Interoperability endpoints

  • Direct secure messaging: anna.mulac@forefrontdermatology.emadirect.md

Organizations & group practices 2

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": "1745798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1245028356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5249 PROVIDENCE RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234644201",
            "telephone_number": "757-467-3900",
            "fax_number": "757-467-7800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2206 Executive Dr Ste F",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "VA",
            "postal_code": "236662583",
            "country_code": "US",
            "telephone_number": "757-825-1440",
            "fax_number": "757-825-1587",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "525 S INDEPENDENCE BLVD STE 215",
            "address_purpose": "LOCATION",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521188",
            "country_code": "US",
            "telephone_number": "757-467-3900",
            "fax_number": "757-467-7800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4632 Truman Ln",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234554844",
            "country_code": "US",
            "telephone_number": "412-432-9564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULAC",
        "first_name": "ANNA",
        "middle_name": "KOMER",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-28",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024192681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Anna.Mulac@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "525 S INDEPENDENCE BLVD STE 215",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "country_code": "US",
            "postal_code": "234521188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Anna.Mulac@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "2206 Executive Dr Ste F",
            "city": "Hampton",
            "state": "VA",
            "country_code": "US",
            "postal_code": "236662583",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Anna.Mulac@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "5249 Providence Rd",
            "city": "Virginia Beach",
            "state": "VA",
            "country_code": "US",
            "postal_code": "234644201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "KOMER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.