Individual provider Active NPI

Nicholas Bryce Mullins, APRN

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1366751455
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3006633 Issued in KY
Practice address
401 E Chestnut St Unit 610
Louisville, KY 40202-5711
Phone
(502) 588-4450
Fax
(502) 588-9539
NPI assigned
Oct 7, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 6633P KY
Family Nurse Practitioner 363LF0000X 3006633 KY Primary

Addresses

Primary practice location

401 E Chestnut St Unit 610
Louisville, KY 40202-5711

Mailing address

401 E Chestnut St Unit 610
Louisville, KY 40202-5711
Phone (502) 588-4450

Other practice location 1

120 Executive Park
Louisville, KY 40207-4201
Phone (502) 855-7200

Other identifiers 1

IdentifierTypeStateIssuer
7100254260MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20130903000805 KY Practitioner - Nurse Practitioner 7012150444 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

401 E Chestnut St
Suite 610
Louisville, KY 40202-5711
Phone (502) 813-6600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.96 of 100Reported as group
Quality
56.12
Promoting interoperability
100
Improvement activities
40
Cost
73.73

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
6633PKYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. CurrentSince Jul 11, 2022 Accepting new patients
University of Louisville Physicians, Inc. Nurse Practitioner Current Accepting new patients
Pain Management Centers of America, PSC Family CurrentSince Apr 8, 2021 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Jul 11, 2022 Accepting new patients
Reclaim Recovery Louisville LLC Past Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

6400 Dutchmans Pkwy
Ste 60
Louisville, KY 40205
Phone (502) 791-8700

401 E Chestnut St
Unit 610
Louisville, KY 40202
Phone (502) 588-4450

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

67 Lakeview Dr
Paducah, KY 42001
Phone (270) 554-8373

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1366751455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E CHESTNUT ST UNIT 610",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402025711",
            "telephone_number": "502-588-4450",
            "fax_number": "502-588-9539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E CHESTNUT ST UNIT 610",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402025711",
            "telephone_number": "502-588-4450",
            "fax_number": "502-588-9539"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Executive Park",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402074201",
            "country_code": "US",
            "telephone_number": "502-855-7200",
            "fax_number": "502-855-7201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "NICHOLAS",
        "middle_name": "BRYCE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-07",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "6633P",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3006633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100254260",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.