Individual provider Active NPI

Ashley Nicole Mullin, FNP

  • Family Nurse Practitioner
  • Amarillo, TX
National Provider Identifier
1467024471
Registry record updated Jul 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1046677 Issued in TX
Practice address
7620 Wallace Blvd
Amarillo, TX 79124-2154
Phone
(806) 359-5468
NPI assigned
Jul 11, 2021
Last updated
Jul 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2021

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 1046677 TX Primary

Addresses

Primary practice location

7620 Wallace Blvd
Amarillo, TX 79124-2154

Mailing address

7620 Wallace Blvd
Amarillo, TX 79124-2154
Phone (806) 359-5468

Other names 1

  • Ashley Nicole Smith Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ashley.mullin@panhandleobgyn.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20211109002979 TX Practitioner - Nurse Practitioner 7517356728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Panhandle Obstetrics and GynecologyGroup PAC ID 7810993391, 8 clinicians

Practice addresses (Care Compare)

7620 Wallace Blvd
Amarillo, TX 79124-2154
Phone (806) 359-5468

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1046677TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Panhandle Obstetrics & Gynecology CurrentSince Aug 5, 2021 Accepting new patients

Locations

7620 Wallace Blvd
Amarillo, TX 79124
Phone (806) 359-5468

Interoperability endpoints

  • Direct secure messaging: ashley.mullin@panhandleobgyn.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1625961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625961600000",
    "number": "1467024471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7620 WALLACE BLVD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791242154",
            "telephone_number": "806-359-5468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7620 WALLACE BLVD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791242154",
            "telephone_number": "806-359-5468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLIN",
        "first_name": "ASHLEY",
        "middle_name": "NICOLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-11",
        "last_updated": "2021-07-11",
        "certification_date": "2021-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1046677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ashley.mullin@panhandleobgyn.com",
            "affiliation": "N",
            "endpointDescription": "Practice Location",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7620 Wallace Blvd",
            "city": "Amarillo",
            "state": "TX",
            "country_code": "US",
            "postal_code": "791242154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "SMITH",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.