James Mullen

Key facts

NPI

1386189223

Entity type

Individual (NPI type 1)

Primary specialty

Physician Assistant 363A00000X

License

4898 (CT)

Practice address

164 Mount Pleasant Rd Ste 202
Newtown, CT 06470-1477

Phone

(203) 270-1016

NPI assigned

Jan 2, 2017

Sex

Male

Sole proprietor

No

Organizations & group practices 3

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.

• Peter Licht M.D. & Jennifer Holloway M.D LLC. Internal Medicine Physician · Newtown, CT · NPI 1528286895
  Medicare reassignment Care Compare group CT
• Prohealth Physicians PC Family Medicine Physician · Farmington, CT · NPI 1720194053
  Medicare reassignment Care Compare group CT
• Dayspring Family Medicine Family Medicine Physician · Eden, NC · NPI 1235131426
  Medicare reassignment NC

Hospital & facility affiliations 6

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

• Bridgeport Hospital General Acute Care Hospital · Bridgeport, CT · NPI 1649260845
  Care Compare affiliation Hospital
• Bridgeport Hospital General Acute Care Hospital · Bridgeport, CT · NPI 1992910152
  Care Compare affiliation Hospital
• Danbury Hospital Dental Clinic/Center · Danbury, CT · NPI 1003835935
  Care Compare affiliation Hospital
• Danbury Hospital General Acute Care Hospital · Danbury, CT · NPI 1548293343
  Care Compare affiliation Hospital
• Rvnahealth, Inc. Home Health Agency · Ridgefield, CT · NPI 1497758874
  Care Compare affiliation Home health agency
• Western Connecticut Home Care, Inc Home Health Agency · Danbury, CT · NPI 1083677132
  Care Compare affiliation Home health agency

Medicare Care Compare profile

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Prohealth Physicians PC (214 clinicians)
Peter Licht M.D. and Jennifer Holloway M.D LLC. (4 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Western Connecticut Home Care Inc Home health agency · Danbury, CT · CCN 077088
• Rvnahealth Home health agency · Ridgefield, CT · CCN 077066
• Danbury Hospital Hospital · Danbury, CT · CCN 070033
• Bridgeport Hospital Hospital · Bridgeport, CT · CCN 070010

Medicare participation

Medicare fee-for-service enrollment

Enrolled (2 enrollments) in NC, CT

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: james.mullen.npi1386189223.phpct@direct.optumcare.masshiway.net

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 3, 2023.

{
    "created_epoch": "1483315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1386189223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 MOSER LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379344043",
            "telephone_number": "865-661-6272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 MOUNT PLEASANT RD STE 202",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064701477",
            "telephone_number": "203-270-1016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLEN",
        "first_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-02",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "3102",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "4898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Newtown, CT · Physician Assistant in Connecticut