Lenea Rae Mullins, NP NURSE PRACTITIONE

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

4704230460 Issued in MI

Practice address

3549 Lakeshore Dr
Waterford, MI 48329-2282

Phone

(248) 469-6093

NPI assigned

Apr 5, 2018

Last updated

Feb 1, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Mrs. Lenea Rae Hardiman Former name

Medicare fee-for-service enrollment

Enrolled in MI

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Right Health, PCGroup PAC ID 0244659092, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lenea.mullins.1@31553.direct.athenahealth.com

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.

• Lakeview Staffing Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Pontiac, MI
  • NPI 1407706344
  Medicare reassignment NPD Authorized official
• Right Health PC

  • General Practice Physician
  • Novi, MI
  • NPI 1619586898

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Theoria Medical

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1609362375

  Nurse Practitioner

  Medicare reassignment NPD
• Ridge Transportation Inc.

  • Non-emergency Medical Transport (VAN)
  • Waterford, MI
  • NPI 1104531318
  NPD Authorized official
• Caring 4 Loved Ones, Inc

  • Registered Nurse
  • Waterford, MI
  • NPI 1093122400
  NPD
• Right Health PC

  • General Practice Physician
  • Troy, MI
  • NPI 1366205122

  Nurse Practitioner

  NPD
• Wellbridge of Clarkston, LLC

  • Skilled Nursing Facility
  • Independence Township, MI
  • NPI 1669965299
  NPD (past)

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

{
    "created_epoch": "1522886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1558867606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3549 LAKESHORE DR",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483292282",
            "telephone_number": "248-469-6093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3549 LAKESHORE DR",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483292282",
            "telephone_number": "248-469-6093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6490 Eastlawn Ave",
            "address_purpose": "LOCATION",
            "city": "Clarkston",
            "state": "MI",
            "postal_code": "483462422",
            "country_code": "US",
            "telephone_number": "248-561-8005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "LENEA",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "NP NURSE PRACTITIONE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-05",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704230460",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MI",
            "license": "4704230460",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704230460",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704230460",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "163W00000X",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LENEA",
            "last_name": "HARDIMAN",
            "middle_name": "RAE",
            "prefix": "MRS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Motown Residential Physician PLLC
• Msu Health Lab, LLC (MSU Health Care Laboratories)
• Anisa Muhovic, PA-C
• Nya Mullens
• Ashley Muller, MA, LLPC
• Karam Mutammara
• My Guardian Angel
• Rhonda Myers, LLP
• Marc G Nagy, SUBSTANCE ABUSE COUN
• Naila Ahmad MD PLC

• Gerontology Nurse Practitioner in Waterford, MI
• Providers in Waterford, MI by specialty
• Gerontology Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.
• 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.