Kimberly Renae Mullins, NP in Duffield, VA - Medicare Nurse Practitioner

Kimberly Renae Mullins, NP is a medicare enrolled "Nurse Practitioner - Family" in Duffield, Virginia. She graduated from nursing school in 2012 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Holston Medical Group Pc and her current practice location is 121 Advanced Technology Drive, Duffield, Virginia. You can reach out to her office (for appointments etc.) via phone at (276) 431-2648.

Kimberly Renae Mullins is licensed to practice in Virginia (license number 0024170685) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1750725636.

Contact Information

	Kimberly Renae Mullins, NP
	121 Advanced Technology Drive, Duffield, VA 24244
	(276) 431-2648
	(276) 431-2082

Map and Direction

Provider's Profile

Full Name	Kimberly Renae Mullins
Gender	Female
Speciality	Nurse Practitioner
Experience	13 Years
Location	121 Advanced Technology Drive, Duffield, Virginia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kimberly Renae Mullins graduated from nursing school in 2012

NPI Data:

NPI Number: 1750725636
Provider Enumeration Date: 04/23/2013
Last Update Date: 10/19/2017

Medicare PECOS Information:

PECOS PAC ID: 3173766714
Enrollment ID: I20130828001034

Medical Identifiers

Medical identifiers for Kimberly Renae Mullins such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750725636	NPI	-	NPPES
Q004515	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	0017140919 (Virginia)	Secondary
164W00000X	Licensed Practical Nurse	0001201805 (Virginia)	Secondary
363LF0000X	Nurse Practitioner - Family	0024170685 (Virginia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lonesome Pine Hospital	Big stone gap, VA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Holston Medical Group Pc	8224935754	236

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kimberly Renae Mullins allows following entities to bill medicare on her behalf.

Entity Name	Holston Medical Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831110667 PECOS PAC ID: 8224935754 Enrollment ID: O20040107000794

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Renae Mullins is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kimberly Renae Mullins, NP Po Box 9, Kingsport, TN 37662-0009 Ph: (423) 857-2066	Kimberly Renae Mullins, NP 121 Advanced Technology Drive, Duffield, VA 24244 Ph: (276) 431-2648

Reviews and Comments

Nurse Practitioner Nurses in Duffield, VA

Lauren Elizabeth Setler, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 191 Kadin Hill Dr, Duffield, VA 24244 Phone: 276-870-4888
Willie Hamilton, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 198 Ross Carter Blvd, Duffield, VA 24244 Phone: 276-690-7161 Fax: 276-690-7246
Jackie Lynne Craft, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 373 Cecil D Quillen Dr Ste 101, 373 Cecil D. Quillen Drive Suite 101, Duffield, VA 24244 Phone: 276-431-1638
Johnny R Shupe, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 373 Cecil D Quillen Dr, Suite 101, Duffield, VA 24244 Phone: 276-431-1638 Fax: 276-431-1639
Mr. Adrian Scott Thacker, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 198 Ross Carter Blvd, Duffield, VA 24244 Phone: 276-690-7161 Fax: 276-690-7246
Cynthia Renee Taylor, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 198 Ross Carter Blvd, Duffield, VA 24244 Phone: 276-690-7161 Fax: 276-690-7246
Regina G Simpson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 121 Advanced Technology Dr, Duffield, VA 24244 Phone: 276-431-2648

Kimberly Renae Mullins, NP - Medicare Nurse Practitioner in Duffield, VA