Cristy R Mullinix, NP
Individual provider Active NPI Family Nurse Practitioner · Swayzee, IN
NPI 1639699879 · NPPES record last updated Oct 19, 2020
Key facts
- NPI
- 1639699879
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 71007378A (IN)
- Practice address
- 2651 S 800 W
Swayzee, IN 46986-9615 - Phone
- (765) 660-7860
- Fax
- (765) 671-3505
- NPI assigned
- Jun 20, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Marion General Hospital
Practice addresses (Care Compare)
4781 Kaybee Dr
Gas City, IN 46933-6607
Phone (765) 660-7840
Hospital & facility affiliations
- Marion General Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.82 of 100
- Quality
- 71.45
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.59
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170928000581 | IN | Practitioner - Nurse Practitioner | 5395019459 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marion General Hospital | Current |
Accepting new patients | |
| Marion General Hospital | Current |
Accepting new patients |
Locations
911 Marion Health Dr
Gas City, IN 46933
Phone (765) 660-7000
4781 Kaybee Dr
Gas City, IN 46933
Phone (765) 660-7840
330 N Wabash Ave
Ste G-20
Marion, IN 46952
Phone (765) 660-7600
441 N Wabash Ave
Marion, IN 46952
Phone (219) 482-4577
2651 S 800 W
Swayzee, IN 46986
Phone (765) 660-7860
Interoperability endpoints
- cristy.mullinix@mgh.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71007378A | IN | Yes |
Addresses
Primary practice location
2651 S 800 W
Swayzee, IN 46986-9615
Mailing address
330 N Wabash
Suite G20
Marion, IN 46952-2600
Phone (765) 660-7616
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000001111096 | Other | IN | ANTHEM |
| 300009975 | Medicaid | IN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cristy.mullinix@mgh.eclinicaldirectplus.com |
Other providers in Swayzee, IN
All providers in Swayzee, IN · Family Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.