Individual provider Active NPI

Amy Jane Mullin

  • Family Nurse Practitioner
  • Richmond, IN
National Provider Identifier
1619572823
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71010635A Issued in IN
Practice address
1050 Reid Pkwy Ste 300
Richmond, IN 47374-1155
Phone
(765) 935-8941
Fax
(765) 935-8578
NPI assigned
Dec 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 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 71010635A IN Primary

Addresses

Primary practice location

1050 Reid Pkwy Ste 300
Richmond, IN 47374-1155

Mailing address

1100 Reid Parkway
Medical Staff Service
Richmond, IN 47374-1661
Phone (765) 935-5331

Other practice location 1

2525 W University Ave Ste 300
Muncie, IN 47303-3432
Phone (765) 289-5420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20201222002505 IN Practitioner - Nurse Practitioner 5698187383 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reid Physician Associates IncGroup PAC ID 6406910769, 427 clinicians

Practice addresses (Care Compare)

1050 Reid Pkwy
Suite 300
Richmond, IN 47374-1155
Phone (765) 935-8941

Hospital & facility affiliations

  • Reid Health Hospital, Richmond, IN, CCN 150048
  • Wayne Hospital Hospital, Greenville, OH, CCN 361335
  • Kettering Health Dayton Hospital, Dayton, OH, CCN 360133
  • Ascension St Vincent Randolph Hospital, Winchester, IN, CCN 151301

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71010635AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health Ball Memorial Physicians, Inc. CurrentSince Dec 21, 2020 Accepting new patients
Reid Physician Associates, Inc CurrentSince Apr 19, 2021 Accepting new patients
Reid Physician Associates, Inc. CurrentSince Apr 19, 2021 Accepting new patients
Major Hospital Past Accepting new patients

Locations

3832 Solutions Ctr
Chicago, IL 60677

2401 W University Ave
Muncie, IN 47303
Phone (765) 747-3111

2525 W University Ave
Ste 300
Muncie, IN 47303
Phone (765) 289-5420

221 N Celia Ave
Muncie, IN 47303
Phone (765) 747-3141

1100 Reid Pkwy
Richmond, IN 47374
Phone (765) 983-3000

1050 Reid Pkwy
Ste 300
Richmond, IN 47374
Phone (765) 935-8941

Interoperability endpoints

  • Direct secure messaging: amullin298085@reidhealth.direct-ci.com
  • Direct secure messaging: amullin298085@ecommunitydirect.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1619572823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 REID PARKWAY",
            "address_2": "MEDICAL STAFF SERVICE",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741661",
            "telephone_number": "765-935-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 REID PKWY STE 300",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741155",
            "telephone_number": "765-935-8941",
            "fax_number": "765-935-8578"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2525 W University Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Muncie",
            "state": "IN",
            "postal_code": "473033432",
            "country_code": "US",
            "telephone_number": "765-289-5420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULLIN",
        "first_name": "AMY",
        "middle_name": "JANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-03",
        "last_updated": "2021-04-01",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71010635A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, IN

Sources for this page

Verify at the official NPI Registry.