Active NPI
Joseph Andrew Mullins, BSN, RN, SRNA
- Certified Registered Nurse Anesthetist
- Charleston, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 0024190273
- Practice address
- 3110 Maccorkle Ave SE
Charleston, WV 25304-1210 - Phone
- (304) 388-9950
- NPI assigned
- Jun 13, 2022
- Last updated
- Jul 9, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Certified Registered Nurse Anesthetist | 367500000X | 0024190273 | VA | Primary |
| Athletic Trainer | 2255A2300X | |||
| Critical Care Medicine Registered Nurse | 163WC0200X | 97080 | WV |
Addresses
Primary practice location
3110 Maccorkle Ave SE
Charleston, WV 25304-1210
Mailing address
353 Eastwood Rd
Ravenswood, WV 26164-8642
Phone (304) 531-9377
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
541 Sunset LN
Suite 201
Culpeper, VA 22701-3979
Phone (540) 829-0700
736 Battlefield Blvd N
Chesapeake, VA 23320-4941
Phone (757) 312-6162
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 97080 | WV | MD | Critical Care Medicine Registered Nurse |
| 0024190273 | VA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Anesthesia of Virginia, LLC | Current | Accepting new patients |
Locations
13500 Powers Ct
Ste 230
Fort Myers, FL 33912
Phone (239) 610-0784
736 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6124
541 Sunset Ln
Ste 201
Culpeper, VA 22701
Phone (540) 829-0700
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.
-
- Anesthesiology Physician
- Alexandria, VA
- NPI 1194488791
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Chesapeake Regional Surgery Center at Virginia Beach
- General Acute Care Hospital
- Virginia Beach, VA
- NPI 1003265075
-
dba Chesapeake General Professional Pharmacy
- Pharmacy
- Chesapeake, VA
- NPI 1558466318
Hospital
-
dba Chesapeake General Hospital
- General Acute Care Hospital
- Chesapeake, VA
- NPI 1700896354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720483200000",
"number": "1528798568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "353 EASTWOOD RD",
"city": "RAVENSWOOD",
"state": "WV",
"postal_code": "261648642",
"telephone_number": "304-531-9377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3110 MACCORKLE AVE SE",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253041210",
"telephone_number": "304-388-9950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLINS",
"first_name": "JOSEPH",
"middle_name": "ANDREW",
"name_prefix": "Mr.",
"credential": "BSN, RN, SRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-13",
"last_updated": "2024-07-09",
"certification_date": "2024-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0024190273",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "WV",
"license": "97080",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.