Individual provider Active NPI

Janell Nicole Mulligan, FNP-C

  • Family Nurse Practitioner
  • Rochester, IN
National Provider Identifier
1255083481
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71012137A Issued in IN
Practice address
1400 E 9TH St
Rochester, IN 46975-8937
Phone
(574) 223-2020
NPI assigned
Jan 19, 2022
Last updated
Jan 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

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 71012137A IN Primary

Addresses

Primary practice location

1400 E 9TH St
Rochester, IN 46975-8937

Mailing address

1400 E 9TH St
Rochester, IN 46975-8931
Phone (574) 223-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20220217000135 IN Practitioner - Nurse Practitioner 6800289745 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Woodlawn HospitalGroup PAC ID 4082506993, shared by 17 NPIs, 30 clinicians

Practice addresses (Care Compare)

1400 E 9TH St
Rochester, IN 46975-8931

1430 E 9TH St
Rochester, IN 46975-8931

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71012137AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Woodlawn Hospital CurrentSince Feb 15, 2022 Accepting new patients
Woodlawn Hospital CurrentSince Dec 31, 2025 Accepting new patients
Woodlawn Hospital Current Accepting new patients
Woodlawn Hospital CurrentSince Feb 15, 2022 Accepting new patients
Woodlawn Hospital Past Accepting new patients

Locations

1400 E 9th St
Rochester, IN 46975
Phone (574) 223-2020

Interoperability endpoints

  • Direct secure messaging: jmulligan530047@direct.parkviewexchange.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1642550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1255083481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E 9TH ST",
            "city": "ROCHESTER",
            "state": "IN",
            "postal_code": "469758931",
            "telephone_number": "574-223-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E 9TH ST",
            "city": "ROCHESTER",
            "state": "IN",
            "postal_code": "469758937",
            "telephone_number": "574-223-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLIGAN",
        "first_name": "JANELL",
        "middle_name": "NICOLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-19",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71012137A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, IN

Sources for this page

Verify at the official NPI Registry.