Individual provider Active NPI

Anna McMullen, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Ocean Springs, MS
National Provider Identifier
1295483071
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP61282990 Issued in WA
Practice address
12293 Savannah Cir
Ocean Springs, MS 39564-5678
Phone
(443) 834-9582
NPI assigned
Mar 11, 2022
Last updated
Jul 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11018549 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 77990 ID
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F404465-01 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G177146 IA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 53-82767-112 KS
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61282990 WA Primary

Addresses

Primary practice location

12293 Savannah Cir
Ocean Springs, MS 39564-5678

Mailing address

12293 Savannah Cir
Ocean Springs, MS 39564-5678
Phone (443) 834-9582

Other names 1

  • Anna Katherine Link Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, WA2 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
I20221006002093 NY Practitioner - Nurse Practitioner 5698153195 Reassigns benefits to 1 organization
I20221121002874 WA Practitioner - Nurse Practitioner 5698153195 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11018549FLMDPsychiatric/Mental Health Nurse Practitioner
G177146IAMDPsychiatric/Mental Health Nurse Practitioner
77990IDMDPsychiatric/Mental Health Nurse Practitioner
53-82767-112KSMDPsychiatric/Mental Health Nurse Practitioner
F404465-01NYMDPsychiatric/Mental Health Nurse Practitioner
AP61282990WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aldad Medical PC CurrentSince Sep 1, 2022 Accepting new patients

Locations

287 Park Ave S
Fl 5
New York, NY 10010
Phone (917) 451-3090

27111 76th Ave
North New Hyde Pk, NY 11040
Phone (718) 289-2100

510 Hempstead Tpke
Rm 203
West Hempstead, NY 11552
Phone 51650572001051

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, 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": "1646956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1295483071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12293 SAVANNAH CIR",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395645678",
            "telephone_number": "443-834-9582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12293 SAVANNAH CIR",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395645678",
            "telephone_number": "443-834-9582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMULLEN",
        "first_name": "ANNA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-11",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11018549",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "77990",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F404465-01",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G177146",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "53-82767-112",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61282990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "LINK",
            "middle_name": "KATHERINE",
            "credential": "PMHNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ocean Springs, MS

Sources for this page

Verify at the official NPI Registry.