Amber Sue Mulally, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

0024172373 Issued in VA

Practice address

620 John Paul Jones Cir
Portsmouth, VA 23708-2111

Phone

(757) 953-4300

NPI assigned

Mar 27, 2015

Last updated

May 27, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Montrose Memorial Hospital, IncGroup PAC ID 1658272992, 148 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Montrose Regional Health Hospital, Montrose, CO, CCN 060006

Merit-based Incentive Payment System (MIPS)

Final score

94.89 of 100Reported as apm

Quality

86.88

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Montrose Memorial Hospital, Inc

  dba Montrose Regional Health

  • Emergency Medicine Physician
  • Montrose, CO
  • NPI 1528083771
  Medicare reassignment Care Compare group NPD
• Montrose Regional Health Pso, LLC

  • Multi-Specialty Clinic/Center
  • Montrose, CO
  • NPI 1386534311
  Medicare reassignment
• Mid-Atlantic Womens Care PLC

  dba Complete Womens Care

  • Obstetrics & Gynecology Physician
  • Virginia Beach, VA
  • NPI 1851339246
  NPD (past)
• Mountain View Cardiology PC

  • Cardiovascular Disease Physician
  • Montrose, CO
  • NPI 1205972858
  NPD (past)

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

• Montrose Memorial Hospital, Inc

  dba Montrose Regional Health

  • General Acute Care Hospital
  • Montrose, CO
  • NPI 1205822186
  Care Compare affiliation

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

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590537600000",
    "number": "1417341355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 JOHN PAUL JONES CIR",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237082111",
            "telephone_number": "757-953-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 JOHN PAUL JONES CIR",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237082111",
            "telephone_number": "757-953-4300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11842 Rock Landing Dr",
            "address_2": "Suite 115",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236064437",
            "country_code": "US",
            "telephone_number": "757-595-9905",
            "fax_number": "757-595-5377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULALLY",
        "first_name": "AMBER",
        "middle_name": "SUE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-27",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024172373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "0024172373",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura May Mourafetis, M.D.
• Elohor Tessy Muagba, NP
• Owen Villagonzalo Muana, MD
• Daniel David Mueller
• Monica Marie Mueller, ATC, CSCS
• John G Muller, MD
• Tanya Nicole Guinto Mullin, DDS
• Jabulani Munalula, MD
• David William Munitz, MD
• Gary L. Munn, M.D.

• Nurse Practitioner in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; 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.

Verify at the official NPI Registry.