Individual provider Active NPI

Pamela S Mullins, CRNP

  • Family Nurse Practitioner
  • Hagerstown, MD
National Provider Identifier
1740735273
Registry record updated May 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R175634 Issued in MD
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, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, DC3 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
I20180918000281 MD Practitioner - Nurse Practitioner 8325399207 Reassigns benefits to 2 organizations
I20230614001974 WV Practitioner - Nurse Practitioner 8325399207
I20250626002555 DC Practitioner - Nurse Practitioner 8325399207 Reassigns benefits to 1 organization

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
MNR Industries, LLCGroup PAC ID 7416908843, 142 clinicians

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

OrganizationSpecialtyStatusNew patients
MNR Industries LLC Current Accepting new patients
Shenandoah Valley Medical System, Inc. CurrentSince Jun 5, 2023 Accepting new patients
MNR Industries, LLC CurrentSince Jul 1, 2025 Accepting new patients
Shenandoah Valley Medical System, Inc. CurrentSince Jun 5, 2023 Accepting new patients
MNR Industries, LLC Current Accepting new patients
MNR Industries, LLC CurrentSince Jul 1, 2025 Accepting new patients
MNR Industries, LLC CurrentSince Jul 1, 2025 Accepting new patients
U N I Medical Care Inc CurrentSince Oct 7, 2018 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.