Individual provider Active NPI

Alyssa Mull, PA

  • Physician Assistant
  • Mesa, AZ
National Provider Identifier
1730981838
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
11070 Issued in AZ
Practice address
4135 S Power Rd Ste 129
Mesa, AZ 85212-3627
Phone
(480) 751-3091
Fax
(480) 751-3095
NPI assigned
Mar 27, 2025
Last updated
Jul 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 11070 AZ Primary

Addresses

Primary practice location

4135 S Power Rd Ste 129
Mesa, AZ 85212-3627

Mailing address

4135 S Power Rd Ste 129
Mesa, AZ 85212-3627
Phone (480) 751-3091

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20250506002255 AZ Practitioner - Physician Assistant 6800313578 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prescott Healthcare Solutions LLCGroup PAC ID 4385940295, 199 clinicians

Practice addresses (Care Compare)

3151 N Windsong Dr
Prescott Valley, AZ 86314-2240
Phone (928) 458-7583

3336 E Chandler Heights Rd
Suite 132
Gilbert, AZ 85298-4264
Phone (480) 988-4645

3552 W Baseline Rd
Suite 140
Laveen, AZ 85339-3042
Phone (602) 635-6941

4135 S Power Rd
Suite 129
Mesa, AZ 85212-3627
Phone (480) 751-3091

8914 N 91St Ave
Suite 100
Peoria, AZ 85345-8390
Phone (623) 877-0100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11070AZMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Accredited Family Healthcare, P.C. PastSince Nov 1, 1998 Accepting new patients

Organizations & group practices 2

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": "1743033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1730981838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4135 S POWER RD STE 129",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852123627",
            "telephone_number": "480-751-3091",
            "fax_number": "480-751-3095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4135 S POWER RD STE 129",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852123627",
            "telephone_number": "480-751-3091",
            "fax_number": "480-751-3095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULL",
        "first_name": "ALYSSA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-27",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "11070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.