Individual provider Active NPI

Holly Lynn Mullins, FNP

  • Family Nurse Practitioner
  • Endwell, NY
National Provider Identifier
1265279939
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
354366 Issued in NY
Practice address
333 Hooper Rd
Endwell, NY 13760-3641
Phone
(607) 583-0521
NPI assigned
Jul 10, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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 354366 NY Primary

Addresses

Primary practice location

333 Hooper Rd
Endwell, NY 13760-3641

Mailing address

45 Country Knoll Dr
Binghamton, NY 13901-6111
Phone (607) 237-9235

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20240905000341 NY Practitioner - Nurse Practitioner 1658811641 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
Schweiger Dermatology PLLCGroup PAC ID 5991947160, 254 clinicians

Practice addresses (Care Compare)

75 Pennsylvania Ave
Binghamton, NY 13903-1608
Phone (212) 283-3000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Schweiger Dermatology PLLC CurrentSince Aug 1, 2024 Accepting new patients

Locations

2508 Western Ave
Altamont, NY 12009
Phone (518) 690-0177

75 Pennsylvania Ave
Binghamton, NY 13903
Phone (607) 201-1100

950 County Road 64
Ste 100
Elmira, NY 14903
Phone (607) 796-5900

333 Hooper Rd
Endwell, NY 13760
Phone (607) 729-2776

33 E 33rd St
Fl 12
New York, NY 10016
Phone (631) 338-5184

4104 Vestal Rd
Ste 203
Vestal, NY 13850
Phone (607) 797-9036

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Organizations & group practices 1

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": "1720569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1265279939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 COUNTRY KNOLL DR",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139016111",
            "telephone_number": "607-237-9235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 HOOPER RD",
            "city": "ENDWELL",
            "state": "NY",
            "postal_code": "137603641",
            "telephone_number": "607-583-0521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "HOLLY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "354366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Endwell, NY

Sources for this page

Verify at the official NPI Registry.