Individual provider Active NPI

Lauren Page Mullins, PA-C

  • Physician Assistant
  • Allen, TX
National Provider Identifier
1649621129
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA10624 Issued in TX
Practice address
1111 Raintree Cir Ste 205
Allen, TX 75013-4901
Phone
(469) 854-6697
Fax
(469) 854-6704
NPI assigned
Jun 27, 2016
Last updated
Jul 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA10624 TX
Physician Assistant 363A00000X PA10624 TX Primary

Addresses

Primary practice location

1111 Raintree Cir Ste 205
Allen, TX 75013-4901

Mailing address

1111 Raintree Cir Ste 205
Allen, TX 75013-4901
Phone (469) 854-6697

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240722003171 TX Practitioner - Physician Assistant 3072059484 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

4333 N Josey LN
Suite 104
Carrollton, TX 75010-4620
Phone (972) 394-4500

5701 Virginia Pkwy
McKinney, TX 75071-5652
Phone (214) 592-0212

6210 Virginia Pkwy
McKinney, TX 75071-5504
Phone (972) 548-5447

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA10624TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group CurrentSince Aug 1, 2024 Accepting new patients
Texas Health Physicians Group CurrentSince Aug 1, 2024 Accepting new patients
Texas Health Physicians Group Past Accepting new patients

Locations

1111 Raintree Cir
Ste 205
Allen, TX 75013
Phone (469) 854-6697

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

6210 Virginia Pkwy
McKinney, TX 75071
Phone (214) 733-8326

Interoperability endpoints

  • Direct secure messaging: lpage149180@direct.texashealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1466985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1649621129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 RAINTREE CIR STE 205",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750134901",
            "telephone_number": "469-854-6697",
            "fax_number": "469-854-6704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 RAINTREE CIR STE 205",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750134901",
            "telephone_number": "469-854-6697",
            "fax_number": "469-854-6704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "LAUREN",
        "middle_name": "PAGE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-27",
        "last_updated": "2024-07-09",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA10624",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA10624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

Verify at the official NPI Registry.