Samantha Lee Mullins

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

117767 Issued in WV

Practice address

300 56TH St SE
Charleston, WV 25304-2361

Phone

(304) 301-3975

NPI assigned

Sep 29, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Comprehensive Psychological Services LTDGroup PAC ID 4082711452, 7 clinicians

Summit BHC West Virginia LLCGroup PAC ID 2860818499, 11 clinicians

Montgomery General Hospital, IncGroup PAC ID 6204735269, 37 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Montgomery General Hospital, Inc

  • Critical Access Hospital
  • Montgomery, WV
  • NPI 1619913647
  Medicare reassignment Care Compare group NPD
• Summit BHC West Virginia, LLC

  • Psychiatry Physician
  • Charleston, WV
  • NPI 1801411905
  Medicare reassignment Care Compare group NPD
• Comprehensive Psychological Services, LTD.

  • Clinical Psychologist
  • Marietta, OH
  • NPI 1831388701

  WV

  Medicare reassignment Care Compare group NPD
• Mental Health Specialty Group PA

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  WV

  Medicare reassignment NPD
• Montgomery General Hospital, Inc

  • Rural Health Clinic/Center
  • Montgomery, WV
  • NPI 1275163644
  NPD
• Summit BHC West Virginia LLC

  • Psychiatric Hospital
  • Charleston, WV
  • NPI 1427672336
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697846400000",
    "number": "1750161659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 2ND AVE W",
            "city": "MONTGOMERY",
            "state": "WV",
            "postal_code": "251362025",
            "telephone_number": "304-989-8344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 56TH ST SE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253042361",
            "telephone_number": "304-301-3975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "SAMANTHA",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-29",
        "last_updated": "2023-10-21",
        "certification_date": "2023-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WV",
            "license": "117767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Mullins
• Martha Ellen Mullins
• Mary Mullins
• Mary E. Mullins, MD
• Patrick Mullins
• Sheena Mullins
• Tammy L Mullins
• Tiffany Mullins
• Tiffany Mullins
• Tosha Danielle Mullins, B.S.

• Psychiatric/Mental Health Nurse Practitioner in Charleston, WV
• Providers in Charleston, WV by specialty
• Psychiatric/Mental Health Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2023; 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.

Verify at the official NPI Registry.