Rebecca Katherine Mullin, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

956 Issued in MN

Practice address

9825 Hospital Dr Ste 300
Maple Grove, MN 55369-4768

Phone

(763) 587-7900

Fax

(763) 494-7501

NPI assigned

Jun 25, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 16, 2025 through Jan 16, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1487094363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 W BROADWAY AVE STE 601",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554451924",
            "telephone_number": "763-587-7900",
            "fax_number": "763-587-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9825 HOSPITAL DR STE 300",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694768",
            "telephone_number": "763-587-7900",
            "fax_number": "763-494-7501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15655 37th Ave N Ste 100",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MN",
            "postal_code": "554464003",
            "country_code": "US",
            "telephone_number": "763-587-7900",
            "fax_number": "763-587-7701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5109 36th Ave N",
            "address_purpose": "LOCATION",
            "city": "Crystal",
            "state": "MN",
            "postal_code": "554222007",
            "country_code": "US",
            "telephone_number": "763-587-7900",
            "fax_number": "763-587-7066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Osseo",
            "state": "MN",
            "postal_code": "553691241",
            "country_code": "US",
            "telephone_number": "763-587-7900",
            "fax_number": "763-420-1901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULLIN",
        "first_name": "REBECCA",
        "middle_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-25",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MO",
            "license": "2013020802",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MN",
            "license": "956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rebecca.mullin@nor.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "9825 Hospital Drive",
            "address_2": "Suite 300",
            "city": "Maple Grove",
            "state": "MN",
            "country_code": "US",
            "postal_code": "55369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tamara Mukete, DPT, PT
• Kaushik Mukherjee, DDS
• Elmes K Mulbah
• Marshall Chapman Mullein
• Abigail Mullen
• Neil P Mulrooney, MD
• Daniel P Mundt
• Abigail Munoz, MFT
• Alison Murphy
• Peter Murphy, BCBA

• Foot & Ankle Surgery Podiatrist in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Foot & Ankle Surgery Podiatrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.