Individual provider Active NPI

Ann Mullins, FNP

  • Family Nurse Practitioner
  • Clinton, CT
National Provider Identifier
1639552896
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6719 Issued in CT
Practice address
114 E Main St
Clinton, CT 06413-2131
Phone
(860) 664-0787
Fax
(860) 664-1982
NPI assigned
Jul 7, 2015
Last updated
Oct 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 20035 TN
Family Nurse Practitioner 363LF0000X 073181-23 NH
Family Nurse Practitioner 363LF0000X 6719 CT Primary

Addresses

Primary practice location

114 E Main St
Clinton, CT 06413-2131

Mailing address

120 Connecticut Ave
Norwalk, CT 06854-1525
Phone (203) 899-1770

Other practice location 1

132 Main St
Danbury, CT 06810-7863
Phone (203) 794-1979

Other practice location 2

120 Connecticut Ave
Norwalk, CT 06854-1525
Phone (203) 899-1770

Other identifiers 2

IdentifierTypeStateIssuer
20035OtherTNSTATE LICENSE
3103174MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, NY, CT3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20151007000513 TN Practitioner - Nurse Practitioner 2769790062
I20190604002847 NY Practitioner - Nurse Practitioner 2769790062 Reassigns benefits to 1 organization
I20250305003668 CT Practitioner - Nurse Practitioner 2769790062 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Norwalk Community Health Center IncGroup PAC ID 6305988510, 29 clinicians
Community Health Center IncGroup PAC ID 0547169138, 149 clinicians

Practice addresses (Care Compare)

120 Connecticut Ave
Norwalk, CT 06854-1525
Phone 20389917708005

85 Lafayette St
New Britain, CT 06051-1803
Phone (860) 224-3642

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
341232NYMDPhysical Medicine & Rehabilitation Physician
6719CTMDFamily Nurse Practitioner
20035TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center Inc CurrentSince Dec 1, 2025 Accepting new patients
Jones Medical Services, PC CurrentSince Jan 1, 2022 Accepting new patients
Community Health Center Inc CurrentSince Dec 1, 2025 Accepting new patients
Community Health Center Inc. Past Accepting new patients
Nuvance Health Medical Practice CT, Inc. Past Accepting new patients

Locations

114 E Main St
Clinton, CT 06413
Phone (860) 664-0787

85 Lafayette St
New Britain, CT 06051
Phone (860) 224-3642

73 Buffalo St
Canandaigua, NY 14424

73 Buffalo St
Ste 100
Canandaigua, NY 14424

191 N Main St
Wellsville, NY 14895
Phone (585) 593-1100

Organizations & group practices 6

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": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1639552896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 CONNECTICUT AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068541525",
            "telephone_number": "203-899-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 E MAIN ST",
            "city": "CLINTON",
            "state": "CT",
            "postal_code": "064132131",
            "telephone_number": "860-664-0787",
            "fax_number": "860-664-1982"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "132 Main St",
            "address_purpose": "LOCATION",
            "city": "Danbury",
            "state": "CT",
            "postal_code": "068107863",
            "country_code": "US",
            "telephone_number": "203-794-1979",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Connecticut Ave",
            "address_purpose": "LOCATION",
            "city": "Norwalk",
            "state": "CT",
            "postal_code": "068541525",
            "country_code": "US",
            "telephone_number": "203-899-1770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-07",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "20035",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "073181-23",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "6719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "20035",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3103174",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, CT

Sources for this page

Verify at the official NPI Registry.