Individual provider Active NPI

William A Mulholland, CNP

  • Family Nurse Practitioner
  • Avon Park, FL
National Provider Identifier
1386034221
Registry record updated May 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11013402 Issued in FL
Practice address
1006 W Pleasant St
Avon Park, FL 33825-2966
Phone
(863) 453-3121
Fax
(863) 452-2823
NPI assigned
Jan 30, 2015
Last updated
May 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP16958 OH
Family Nurse Practitioner 363LF0000X APRN11013402 FL Primary

Addresses

Primary practice location

1006 W Pleasant St
Avon Park, FL 33825-2966

Mailing address

3625 Manor Dr
Sebring, FL 33872-7620
Phone (567) 712-4751

Other identifiers 2

IdentifierTypeStateIssuer
NP16958OtherOHOHIO LICENSE
11013402OtherFLFLORIDA LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, FL2 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
I20150223001622 OH Practitioner - Nurse Practitioner 0648596353 Reassigns benefits to 2 organizations
I20240123003012 FL Practitioner - Nurse Practitioner 0648596353 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1006 W Pleasant St
Avon Park, FL 33825-2966
Phone (863) 453-3121

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP16958OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health System-Sunbelt Inc CurrentSince Jan 29, 2024 Accepting new patients
Adventist Health System-Sunbelt Inc Family CurrentSince Jan 29, 2024 Accepting new patients
Apogee Medical Group Ohio Inc CurrentSince Jun 2, 2015 Accepting new patients
Mercy Health Physicians Lima Specialty Care LLC CurrentSince Aug 14, 2022 Accepting new patients
Lima Memorial Joint Operating Company PastSince Mar 22, 2018 Accepting new patients
Adventist Health System-Sunbelt Inc Past Accepting new patients
Adventist Health System-Sunbelt Inc PastSince Jan 1, 2024 Accepting new patients

Locations

1006 W Pleasant St
Avon Park, FL 33825
Phone (863) 453-3121

1210 US Highway 27 N
Lake Placid, FL 33852
Phone (863) 465-3777

4240 Sun N Lake Blvd
Ste 202
Sebring, FL 33872
Phone (863) 471-3926

900 Havemann Rd
Ste C
Celina, OH 45822
Phone (419) 584-1900

830 W Main St
Coldwater, OH 45828
Phone (419) 678-5271

730 W Market St
Lima, OH 45801
Phone (419) 226-4310

830 W High St
Ste 390
Lima, OH 45801
Phone (419) 995-4960

1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: wmulholland2201937@adventhealth.direct-ci.com

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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": "1422576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746835200000",
    "number": "1386034221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 MANOR DR",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338727620",
            "telephone_number": "567-712-4751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 W PLEASANT ST",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338252966",
            "telephone_number": "863-453-3121",
            "fax_number": "863-452-2823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULHOLLAND",
        "first_name": "WILLIAM",
        "middle_name": "A",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-30",
        "last_updated": "2025-05-10",
        "certification_date": "2025-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "NP16958",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11013402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO LICENSE",
            "identifier": "NP16958",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA LICENSE",
            "identifier": "11013402",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon Park, FL

Sources for this page

Verify at the official NPI Registry.