Active NPI
Pamela S Mullins, CRNP
- Family Nurse Practitioner
- Hagerstown, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R175634
- Practice address
- 1185 Mount Aetna Rd Ste 102
Hagerstown, MD 21740 - Phone
- (240) 513-6300
- Fax
- (949) 543-2341
- NPI assigned
- Aug 25, 2016
- Last updated
- May 15, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R175634 | MD | Primary |
Addresses
Primary practice location
1185 Mount Aetna Rd Ste 102
Hagerstown, MD 21740
Mailing address
1185 Mount Aetna Rd Ste 102
Hagerstown, MD 21740-6832
Phone (240) 513-6300
Other practice location 1
501 W Wilson Blvd
Hagerstown, MD 21740-7213
Phone (240) 217-7229
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, WV, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1011 Baltimore Blvd
Westminster, MD 21157-7055
Phone (410) 848-3990
1505 E Churchville Rd
Bel Air, MD 21014-4742
17708 Garland Groh Blvd
Hagerstown, MD 21740-2016
Phone (301) 671-1772
504 E Ridgeville Blvd
A
Mount Airy, MD 21771-5942
Phone (301) 703-5452
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MNR Industries LLC | Current | Accepting new patients | |
| Shenandoah Valley Medical System, Inc. | Current | Accepting new patients | |
| MNR Industries, LLC | Current | Accepting new patients | |
| Shenandoah Valley Medical System, Inc. | Current | Accepting new patients | |
| MNR Industries, LLC | Current | Accepting new patients | |
| MNR Industries, LLC | Current | Accepting new patients | |
| MNR Industries, LLC | Current | Accepting new patients | |
| U N I Medical Care Inc | Current | Accepting new patients | |
| Shenandoah Valley Medical System, Inc. | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Shenandoah Valley Medical System, Inc. | Past | Accepting new patients |
Locations
1505 E Churchville Rd
Bel Air, MD 21014
Phone (410) 420-6970
1505 E Churchville Rd
#A
Bel Air, MD 21014
Phone (410) 420-6970
6000 Laurel Bowie Rd
Bowie, MD 20715
Phone (301) 383-0330
6030 Daybreak Cir
Ste A150179
Clarksville, MD 21029
11236 Robinwood Dr
Ste 101
Hagerstown, MD 21742
Phone (240) 313-4242
504 E Ridgeville Blvd
#A
Mount Airy, MD 21771
Phone (301) 703-5452
826 Washington Rd
Ste 110A
Westminster, MD 21157
Phone (410) 751-7480
99 Tavern Rd
Martinsburg, WV 25401
Phone (304) 263-7023
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 11
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.
-
- Urgent Care Clinic/Center
- Westminster, MD
- NPI 1790962371
-
dba ExpressCare of Mount Airy
- Urgent Care Clinic/Center
- Mount Airy, MD
- NPI 1073963146
-
dba ExpressCare of Overlea
- Urgent Care Clinic/Center
- Nottingham, MD
- NPI 1629252549
-
- Urgent Care Clinic/Center
- Bel Air, MD
- NPI 1649089418
-
- Federally Qualified Health Center (FQHC)
- Martinsburg, WV
- NPI 1083617823
-
dba Shenandoah Community Health South Middle
- Federally Qualified Health Center (FQHC)
- Martinsburg, WV
- NPI 1235853144
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
dba Winchester Family Health Center
- Federally Qualified Health Center (FQHC)
- Winchester, VA
- NPI 1023217452
-
dba Shenandoah Community Health Widmyer Elementary
- Federally Qualified Health Center (FQHC)
- Berkeley Springs, WV
- NPI 1568186153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526342400000",
"number": "1740735273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1185 MOUNT AETNA RD STE 102",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217406832",
"telephone_number": "240-513-6300",
"fax_number": "949-543-2341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1185 MOUNT AETNA RD STE 102",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "21740",
"telephone_number": "240-513-6300",
"fax_number": "949-543-2341"
}
],
"practiceLocations": [
{
"address_1": "501 W Wilson Blvd",
"address_purpose": "LOCATION",
"city": "Hagerstown",
"state": "MD",
"postal_code": "217407213",
"country_code": "US",
"telephone_number": "240-217-7229",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MULLINS",
"first_name": "PAMELA",
"middle_name": "S",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-25",
"last_updated": "2018-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R175634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hagerstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.