Active NPI
Mary R. Mullins, DNP
- Nurse Practitioner
- Denham Springs, LA
National Provider Identifier
1912550468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 236688
- Practice address
- 31985 La Highway 16 Ste a
Denham Springs, LA 70726-1462 - Phone
- (225) 791-8800
- Fax
- (225) 791-8889
- NPI assigned
- Jul 23, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 209019659 | IL | |
| Gerontology Nurse Practitioner | 363LG0600X | 236688 | LA | |
| Nurse Practitioner | 363L00000X | 236688 | LA | Primary |
| Family Nurse Practitioner | 363LF0000X | 236688 | LA |
Addresses
Primary practice location
31985 La Highway 16 Ste a
Denham Springs, LA 70726-1462
Mailing address
5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (225) 791-8800
Other practice location 1
10714 Highway 431
Saint Amant, LA 70774-3904
Phone (225) 644-0005
Other practice location 2
211 E Harpole St
Williamsville, IL 62693-9718
Phone (175) 889-8712
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | marymullins@sfc.allscriptsdirect.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 88.83 of 100
- Quality
- 75.65
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 236688 | LA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Convenient Care LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Lake After Hours Denham
- Urgent Care Clinic/Center
- Denham Springs, LA
- NPI 1477646370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777593600000",
"number": "1912550468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5959 S SHERWOOD FOREST BLVD",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708166038",
"telephone_number": "225-791-8800",
"fax_number": "225-765-9196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31985 LA HIGHWAY 16 STE A",
"city": "DENHAM SPRINGS",
"state": "LA",
"postal_code": "707261462",
"telephone_number": "225-791-8800",
"fax_number": "225-791-8889"
}
],
"practiceLocations": [
{
"address_1": "10714 Highway 431",
"address_purpose": "LOCATION",
"city": "Saint Amant",
"state": "LA",
"postal_code": "707743904",
"country_code": "US",
"telephone_number": "225-644-0005",
"fax_number": "225-644-0085",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "211 E Harpole St",
"address_purpose": "LOCATION",
"city": "Williamsville",
"state": "IL",
"postal_code": "626939718",
"country_code": "US",
"telephone_number": "175-889-8712",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MULLINS",
"first_name": "MARY",
"middle_name": "R.",
"credential": "DNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-23",
"last_updated": "2026-05-01",
"certification_date": "2026-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "IL",
"license": "209019659",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "LA",
"license": "236688",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "LA",
"license": "236688",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "236688",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "marymullins@sfc.allscriptsdirect.net",
"affiliation": "N",
"address_1": "800 N 1st St",
"city": "Springfield",
"state": "IL",
"country_code": "US",
"postal_code": "627023719",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Denham Springs, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; 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.