Individual provider Active NPI

Heidi Elizabeth Kipers Mullen, D.O.

  • Dermatology Physician
  • Exeter, NH
National Provider Identifier
1851827588
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
21923 Issued in NH
Practice address
23 Hampton Rd
Exeter, NH 03833-4807
Phone
(978) 691-5690
NPI assigned
May 1, 2017
Last updated
Sep 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 21923 NH Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

23 Hampton Rd
Exeter, NH 03833-4807

Mailing address

PO Box 412012
Boston, MA 02241-2012

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, ME, AZ3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20210920001709 NH Practitioner - Dermatology 1557768439 Reassigns benefits to 1 organization
I20220209000338 ME Practitioner - Dermatology 1557768439 Reassigns benefits to 1 organization
I20230616003077 AZ Practitioner - Dermatology 1557768439 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scottsdale Skin Boutique and Dermatology PLLCGroup PAC ID 8426460221, 4 clinicians
Northeast Dermatology Associates PCGroup PAC ID 3072403799, shared by 2 NPIs, 84 clinicians

Practice addresses (Care Compare)

11333 N Scottsdale Rd
Suite 115
Scottsdale, AZ 85254-5186
Phone (402) 792-5789

23 Hampton Rd
Exeter, NH 03833-4807
Phone (978) 691-5690

519 US Route 1
Unit 2
York, ME 03909-1683
Phone (207) 351-1266

Merit-based Incentive Payment System (MIPS)

Final score
86.63 of 100Reported as group
Quality
84.27
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
74.05 of 100Reported as group
Quality
100
Improvement activities
40
Cost
13.49

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision78
Removal of skin lesions1625
Removal of skin cancer43
Removal or shaving of skin growth315
Skin biopsy827

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
21923NHMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Dermatology Associates, PC CurrentSince Dec 9, 2021 Accepting new patients
Northeast Dermatology Associates, PC CurrentSince Sep 14, 2021 Accepting new patients
Scottsdale Skin Boutique and Dermatology PLLC Dermatology CurrentSince May 9, 2023 Accepting new patients
Neda at North Shore PC Dermatology CurrentSince Sep 14, 2021 Accepting new patients

Locations

5650 W Chandler Blvd
Ste 12
Chandler, AZ 85226

5650 W Chandler Blvd
Ste 2
Chandler, AZ 85226
Phone (248) 986-5798

11333 N Scottsdale Rd
Ste 115
Scottsdale, AZ 85254
Phone (402) 792-5789

519 US Route 1
Unit 2
York, ME 03909
Phone (207) 351-1266

23 Hampton Rd
Exeter, NH 03833
Phone (603) 772-4684

155 Borthwick Ave
Ste 201
Portsmouth, NH 03801
Phone (504) 914-5254

155 Borthwick Ave
Ste 201W
Portsmouth, NH 03801
Phone (603) 433-9575

302 Innovation Dr
Ste 400
Franklin, TN 37067

Interoperability endpoints

  • Direct secure messaging: drhmullen@nedermatology.emadirect.md
  • Direct secure messaging: heidimullen@ad.allscriptsdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1851827588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412012",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022412012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 HAMPTON RD",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038334807",
            "telephone_number": "978-691-5690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLEN",
        "first_name": "HEIDI",
        "middle_name": "ELIZABETH KIPERS",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-01",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NH",
            "license": "21923",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exeter, NH

Sources for this page

Verify at the official NPI Registry.