Individual provider Active NPI

Maria Elvira Mullikin, NP-C

  • Family Nurse Practitioner
  • Cheyenne, WY
National Provider Identifier
1417226994
Registry record updated May 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
24884.1127 Issued in WY
Practice address
214 East 23Rd
Cheyenne, WY 82001
Phone
(307) 633-6191
Fax
(307) 631-7469
NPI assigned
Dec 29, 2011
Last updated
May 12, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 24884.1127 WY Primary

Addresses

Primary practice location

214 East 23Rd
Cheyenne, WY 82001

Mailing address

P.O. Box 20994
Cheyenne, WY 82003
Phone (307) 633-6191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, CO2 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
I20120314000144 WY Practitioner - Nurse Practitioner 7012176852 Reassigns benefits to 1 organization
I20200122000217 CO Practitioner - Nurse Practitioner 7012176852

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Babson and Associates Primary Care PCGroup PAC ID 0345223343, 6 clinicians

Practice addresses (Care Compare)

1331 Prairie Ave
Suite 1
Cheyenne, WY 82009-4867
Phone (307) 632-0728

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Emergency Physicians LLC Past Accepting new patients
Frontier Medical Providers Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: maria.mullikin.1@27166.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1325116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399852800000",
    "number": "1417226994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 20994",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "82003",
            "telephone_number": "307-633-6191",
            "fax_number": "307-631-7469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 EAST 23RD",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "82001",
            "telephone_number": "307-633-6191",
            "fax_number": "307-631-7469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLIKIN",
        "first_name": "MARIA",
        "middle_name": "ELVIRA",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-29",
        "last_updated": "2014-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "24884.1127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

Verify at the official NPI Registry.