Active NPI
Jenna Marie Mullins, MD
- Family Medicine Physician
- Onalaska, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 82504
- Practice address
- 191 Theater Road
Onalaska, WI 54650-8679 - Phone
- (608) 785-0940
- NPI assigned
- Mar 26, 2022
- Reactivated
- Apr 26, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 82504 | WI | Primary |
| Family Medicine Physician | 207Q00000X | 9533851 | WI |
Addresses
Primary practice location
191 Theater Road
Onalaska, WI 54650-8679
Mailing address
200 1St St SW
Rochester, MN 55905-0001
Phone (608) 785-0940
Other practice location 1
200 1st St SW
Rochester, MN 55905-0001
Phone (507) 284-2511
Other practice location 2
815 10th St S
LA Crosse, WI 54601-4764
Phone (608) 785-0940
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Iowa, RJ & L Carver College of Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1201 3Rd Ave SE
Cedar Rapids, IA 52403-4009
Phone (319) 730-7300
1225 3Rd Ave SE
Cedar Rapids, IA 52403-4009
Phone (319) 730-7300
Hospital & facility affiliations
- Mayo Clinic Health System-Franciscan Medical Center Inc
- Mercy Medical Center - Cedar Rapids
- St Lukes Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82504 | WI | MD | Family Medicine Physician |
| 9533851 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern Iowa Health Center | Family Medicine | Current | Accepting new patients |
| Eastern Iowa Health Center | Family Medicine | Current | Accepting new patients |
| Eastern Iowa Health Center | Current | Accepting new patients | |
| Mayo Clinic Health System-Southwest Wisconsin Region, Inc. | Current | Accepting new patients | |
| Mayo Clinic Health System-Southwest Wisconsin Region, Inc. | Current | Accepting new patients |
Locations
1030 5th Ave SE
Ste 2400
Cedar Rapids, IA 52403
1201 3rd Ave SE
Cedar Rapids, IA 52403
Phone (319) 730-7343
200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850
815 10th St S
La Crosse, WI 54601
Phone (608) 392-2890
191 Theater Rd
Onalaska, WI 54650
Phone (608) 392-5000
800 E Blackhawk Ave
Prairie du Chien, WI 53821
Phone (608) 326-0808
Interoperability endpoints
- jenna.mullins.1@13071.direct.athenahealth.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 and National Provider Directory roles.
-
- Family Medicine Physician
- Cedar Rapids, IA
- NPI 1578753703
-
- Multi-Specialty Clinic/Center
- La Crosse, WI
- NPI 1629056049
-
- Multi-Specialty Clinic/Center
- La Crosse, WI
- NPI 1942980917
-
- Community/Retail Pharmacy
- Cedar Rapids, IA
- NPI 1346048675
-
- Family Medicine Physician
- Cedar Rapids, IA
- NPI 1598216244
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- La Crosse, WI
- NPI 1801874227
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1720029333
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770163200000",
"number": "1326798992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 1ST ST SW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559050001",
"telephone_number": "608-785-0940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "191 THEATER ROAD",
"city": "ONALASKA",
"state": "WI",
"postal_code": "546508679",
"telephone_number": "608-785-0940"
}
],
"practiceLocations": [
{
"address_1": "200 1st St SW",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "MN",
"postal_code": "559050001",
"country_code": "US",
"telephone_number": "507-284-2511",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "815 10th St S",
"address_purpose": "LOCATION",
"city": "LA Crosse",
"state": "WI",
"postal_code": "546014764",
"country_code": "US",
"telephone_number": "608-785-0940",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MULLINS",
"first_name": "JENNA",
"middle_name": "MARIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-26",
"last_updated": "2026-02-04",
"certification_date": "2026-02-04",
"deactivation_date": "2022-03-30",
"reactivation_date": "2022-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "82504",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "9533851",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Onalaska, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.