JACOB MULLAN FNP
NPI 1023694197
Nurse Practitioner in Cumberland, MD
About Jacob Mullan Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB MULLAN FNP (NPI 1023694197) is an individual nurse practitioner in Cumberland, Maryland, licensed in Maryland (R213462) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Potomac Valley Hospital, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jacob Mullan Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Jacob Mullan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Cumberland, MD 21502
- Reassigned Medicare billing, Maryland enrollment
- 210 clinicians in this Medicare group
Lavale, MD 21502
- Reassigned Medicare billing, Maryland enrollment
- 10 clinicians in this Medicare group
Keyser, WV 26726
- Reassigned Medicare billing, West Virginia enrollment
- Medicare enrollment name: Potomac Valley Hospital Of W Va, Inc
- Also billed through NPI 1912979873 (West Virginia)
- 147 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Potomac Valley Hospital
Critical Access Hospitals · Keyser, WVPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21502 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CUMBERLAND, MD 21502
CUMBERLAND, MD 21502
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jacob Mullan's NPI number?
The NPI number for Jacob Mullan is 1023694197. It was assigned to this individual provider in the NPPES registry on March 19, 2021.
Where is Jacob Mullan located?
Jacob Mullan practices at 12502 Willowbrook Rd, Cumberland, MD 21502. The listed phone number is (240) 964-8944.
What is Jacob Mullan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Jacob Mullan enrolled in Medicare?
Yes. Jacob Mullan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Jacob Mullan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Mullan reassigns Medicare benefits to 3 organizations: Upmc Western Maryland Corporation (Cumberland, MD), Wellcare Inc (Lavale, MD) and Potomac Valley Hospital Of Wv, Inc. (Keyser, WV). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacob Mullan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacob Mullan accept?
Health plans from CareSource list Jacob Mullan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Jacob Mullan affiliated with any hospitals?
According to CMS data, Jacob Mullan is affiliated with Potomac Valley Hospital.
When was this NPI record last updated?
The NPPES record for Jacob Mullan was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jacob Mullan, FNP · NPI 1023694197
Nurse Practitioner physician in Cumberland, Maryland. Individual provider, active in the CMS NPPES registry since March 19, 2021.
## Identity
- **NPI:** 1023694197 (Entity type: Individual)
- **Enumerated:** March 19, 2021
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** R213462 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 12502 WILLOWBROOK RD, Cumberland, MD 21502-6491
- **Phone:** (240) 964-8944 · **Fax:** (240) 964-8942
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Upmc Western Maryland Corporation (NPI 1285779884, Cumberland, MD); Wellcare Inc (NPI 1912667734, Lavale, MD); Potomac Valley Hospital Of Wv, Inc. (NPI 1578305256, Keyser, WV) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** May 19, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1023694197) · Data from the CMS NPPES public registry.