Elisa Mullikin, PHYSICIAN ASSISTANT

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.0005301 Issued in CO

Practice address

39863 Highway 184
Mancos, CO 81328-9033

Phone

(970) 946-3386

NPI assigned

Dec 29, 2015

Last updated

Jan 10, 2020By the provider in NPPES

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 CO

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Valley Citizens' Foundation for Health Care Inc

  dba Rio Grande Hospital

  • Critical Access Hospital
  • Del Norte, CO
  • NPI 1396783981
  Medicare reassignment NPD
• Valley Citizens' Foundation for Health Care Inc

  dba Monte Vista Rural Health Clinic of Rio Grande Hospital

  • Rural Health Clinic/Center
  • Monte Vista, CO
  • NPI 1144777566
  NPD
• Valley Citizens' Foundation for Health Care Inc

  dba Rio Grande Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Del Norte, CO
  • NPI 1720181225
  NPD (past)
• Valley Citizens' Foundation for Health Care Inc

  dba Creede Family Practice of Rio Grande Hospital

  • Critical Access Hospital Clinic/Center
  • Creede, CO
  • NPI 1851882989
  NPD (past)

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

{
    "created_epoch": "1451347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1871958249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39863 HIGHWAY 184",
            "city": "MANCOS",
            "state": "CO",
            "postal_code": "813289033",
            "telephone_number": "970-946-3386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39863 HIGHWAY 184",
            "city": "MANCOS",
            "state": "CO",
            "postal_code": "813289033",
            "telephone_number": "970-946-3386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLIKIN",
        "first_name": "ELISA",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-29",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0005301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Montezuma County School District Re-6
• Morning Birdsong Therapy LLC
• Mountain Sunrise Health LLC
• Mullikin Physical Therapy
• Annette Marie Mullikin, P.T.
• April Padilla, P.T.A.
• Psyke, LLC
• Meagan Ready, LPCC, J.D.
• Jennifer Barker Santopietro, LPC
• Karen E Siegel, FNP

• Physician Assistant in Mancos, CO
• Providers in Mancos, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.