Active NPI
Christy Joy Mullin, FNP-C
- Family Nurse Practitioner
- Hedgesville, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 57766
- Practice address
- 3790 Hedgesville Road
Suite H
Hedgesville, WV 25427-6704 - Phone
- (304) 754-7160
- Fax
- (304) 754-7244
- NPI assigned
- Dec 12, 2006
- Last updated
- Mar 11, 2021
- 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 Nurse Practitioner | 363LF0000X | R157962 | MD | |
| Family Nurse Practitioner | 363LF0000X | 57766 | WV | Primary |
Addresses
Primary practice location
3790 Hedgesville Road
Suite H
Hedgesville, WV 25427-6704
Mailing address
3790 Hedgesville Rd
Suite H
Hedgesville, WV 25427-6704
Phone (304) 754-7160
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cmullin643204@soc.inova.org | ||
| Direct Messaging Address | cmullin643204@soc.inova.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Oak Lee Dr
Ranson, WV 25438-4879
Phone (304) 930-0001
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R157962 | MD | MD | Family Nurse Practitioner |
| 57766 | WV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Mountain Health Physicians Inc | Current | Accepting new patients | |
| East Mountain Health Physicians Inc. | Current | Accepting new patients | |
| East Mountain Health Physicians, Inc. | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| East Mountain Health Physicians, Inc. | Past | Accepting new patients |
Locations
3790 Hedgesville Rd
Ste H
Hedgesville, WV 25427
Phone (304) 754-7160
1004 Sushruta Dr
Ste D
Martinsburg, WV 25401
Phone (304) 262-2538
101 Marcley Dr
Martinsburg, WV 25401
Phone (304) 263-8911
100 Oak Lee Dr
Ranson, WV 25438
Phone (304) 350-0001
Interoperability endpoints
- cmullin643204@soc.inova.org
- cmullin643204@valleyhealth.direct-ci.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.
-
dba Valley Health Family Medicine - Briarwood
- Family Medicine Physician
- Martinsburg, WV
- NPI 1114460797
-
dba Valley Health Multispecialty Clinic Charles Town
- Obstetrics & Gynecology Physician
- Charles Town, WV
- NPI 1073024923
-
dba Valley Health Center for Orthopedic Excellence
- Orthopaedic Surgery Physician
- Martinsburg, WV
- NPI 1437885365
-
dba Valley Health Employer Health
- Occupational Medicine Clinic/Center
- Ranson, WV
- NPI 1841711512
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Berkeley Medical Center
- General Acute Care Hospital
- Martinsburg, WV
- NPI 1457389249
-
- Critical Access Hospital
- Berkeley Springs, WV
- NPI 1467450353
-
- General Acute Care Hospital
- Winchester, VA
- NPI 1619928017
-
dba Valley Health Laboratories
- Clinical Medical Laboratory
- Winchester, VA
- NPI 1790024909
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615420800000",
"number": "1346301785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3790 HEDGESVILLE RD",
"address_2": "SUITE H",
"city": "HEDGESVILLE",
"state": "WV",
"postal_code": "254276704",
"telephone_number": "304-754-7160",
"fax_number": "304-754-7244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3790 HEDGESVILLE ROAD",
"address_2": "SUITE H",
"city": "HEDGESVILLE",
"state": "WV",
"postal_code": "254276704",
"telephone_number": "304-754-7160",
"fax_number": "304-754-7244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLIN",
"first_name": "CHRISTY",
"middle_name": "JOY",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-12",
"last_updated": "2021-03-11",
"certification_date": "2021-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R157962",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WV",
"license": "57766",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cmullin643204@soc.inova.org",
"affiliation": "N",
"address_1": "101 Marcley Dr",
"city": "Martinsburg",
"state": "WV",
"country_code": "US",
"postal_code": "254012977",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cmullin643204@soc.inova.org",
"affiliation": "N",
"address_1": "3790 Hedgesville Rd Ste H",
"city": "Hedgesville",
"state": "WV",
"country_code": "US",
"postal_code": "254276704",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hedgesville, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; 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.