Individual provider Active NPI

Grace Y. Mullins

  • Nurse Practitioner
  • Florence, KY
National Provider Identifier
1932136264
Registry record updated Feb 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
42432 Issued in KY
Practice address
47 Cavalier Blvd Ste 100
Florence, KY 41042-3970
Phone
(859) 282-2024
Fax
(859) 282-6747
NPI assigned
Jun 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 42432 KY Primary

Addresses

Primary practice location

47 Cavalier Blvd Ste 100
Florence, KY 41042-3970

Mailing address

47 Cavalier Blvd Ste 100
Florence, KY 41042-3970
Phone (859) 282-2024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20061016000057 KY Practitioner - Nurse Practitioner 0840296836 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

47 Cavalier Blvd
Suite 100
Florence, KY 41042-3970

Hospital & facility affiliations

  • St Elizabeth Edgewood Hospital, Edgewood, KY, CCN 180035
  • Christ Hospital Hospital, Cincinnati, OH, CCN 360163
  • St Elizabeth Florence Hospital, Florence, KY, CCN 180045
  • St Elizabeth Grant Hospital, Williamstown, KY, CCN 181311

Merit-based Incentive Payment System (MIPS)

Final score
80.73 of 100Reported as group
Quality
67.22
Improvement activities
40
Cost
70.36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
42432KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Relief Centers Nurse Practitioner CurrentSince Apr 7, 2025 Accepting new patients
Cincinnati Pain Management Consultants LTD Past Accepting new patients
Robert J Klickovich MD Past Accepting new patients
Hansen Pain and Wellness PastSince Jul 7, 2024 Accepting new patients

Locations

101 Financial Pl
Ste B103
Elizabethtown, KY 42701
Phone (270) 307-8177

7000 Dixie Hwy
Florence, KY 41042
Phone (859) 282-2024

160 Prosperous Pl
Lexington, KY 40509
Phone (859) 367-7246

5129 Dixie Hwy
Ste 201
Louisville, KY 40216
Phone (502) 430-6223

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455580800000",
    "number": "1932136264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 CAVALIER BLVD STE 100",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410423970",
            "telephone_number": "859-282-2024",
            "fax_number": "859-282-6747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 CAVALIER BLVD STE 100",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410423970",
            "telephone_number": "859-282-2024",
            "fax_number": "859-282-6747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "GRACE",
        "middle_name": "Y.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2016-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "42432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, KY

Sources for this page

Verify at the official NPI Registry.