Kevin Ronald Mull, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C5-0011713 Issued in DE

Practice address

38229 Dupont Blvd
Selbyville, DE 19975-3045

Phone

(302) 433-6440

Fax

(302) 524-8282

NPI assigned

Nov 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DE, MD2 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 2

Specialty

Physician Assistant

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lower Shore Immediate Care LLCGroup PAC ID 0749578300, 6 clinicians

Lower Shore Immediate Care of SelbyvilleGroup PAC ID 0547609497, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

96.26 of 100Reported as group

Quality

91.08

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kevinmull@agh.allscriptsdirect.net
• Direct secure messaging: kevin.mull@3986.securemail.prognocis.com
• Direct secure messaging: kevin.mull@4223.securemail.prognocis.com

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.

• Lower Shore Immediate Care of Selbyville

  • Urgent Care Clinic/Center
  • Selbyville, DE
  • NPI 1265115562
  Medicare reassignment Care Compare group Authorized official
• Lower Shore Immediate Care LLC

  • Urgent Care Clinic/Center
  • Princess Anne, MD
  • NPI 1679927982
  Medicare reassignment Care Compare group
• Pediatric Therapy Partners, Inc.

  dba Pediatric Partners

  • Occupational Therapist
  • Thief River Falls, MN
  • NPI 1457479958
  NPD (past)

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1871669796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38229 DUPONT BLVD",
            "city": "SELBYVILLE",
            "state": "DE",
            "postal_code": "199753045",
            "telephone_number": "302-433-6440",
            "fax_number": "302-524-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38229 DUPONT BLVD",
            "city": "SELBYVILLE",
            "state": "DE",
            "postal_code": "199753045",
            "telephone_number": "302-433-6440",
            "fax_number": "302-524-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULL",
        "first_name": "KEVIN",
        "middle_name": "RONALD",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-24",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0002049",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C5-0011713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Milam
• Anna Miller
• Melissa Miller, LCSW
• Sara Moghaddam, M.D.
• Kathleen E Morris, FNP-C
• Cailey Murphy
• Dawn Nielsen
• Jerell Nocks
• Lauren Kimberly Nuttle, D.P.T
• Miranda O'Brien

• Physician Assistant in Selbyville, DE
• Providers in Selbyville, DE by specialty
• Physician Assistant in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.