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JACOB MULLAN FNP
NPI 1023694197
Nurse Practitioner in Cumberland, MD

Active since March 19, 2021PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
12502 WILLOWBROOK RD, CUMBERLAND, MD 21502(240) 964-8944(240) 964-8942 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 19, 2026, Jul 19, 2021, Mar 19, 2021 (3 updates tracked since 2021).

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

NPI1023694197
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameJACOB MULLANCredential: FNP
Location Address12502 WILLOWBROOK RDCumberland, MD 21502-6491
Mailing AddressPo Box 1671Cumberland, MD 21501-1671 · Fax (240) 964-8337
Phone(240) 964-8944
Fax(240) 964-8942
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 19, 2021
Last NPPES UpdateMay 19, 20263 updates tracked since enumeration
NPPES CertifiedMay 19, 2026
✔ NPI 1023694197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MD · R213462
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License R213462 (MD)
12502 WILLOWBROOK RD, Cumberland, MD 21502
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11 Science ParkFrostburg, MD 21532-2024 · Phone (301) 729-2235 · Fax (240) 943-2044
Location 212500 Willowbrook RdCumberland, MD 21502-6393 · Phone (240) 964-7000 · Fax (240) 964-8942
Location 31226 National HwyLavale, MD 21502-7603 · Phone (301) 729-2235 · Fax (240) 437-4589

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID3375946494
PECOS Enrollment IDI20230126000692
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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, WV
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number511315
Location100 Pin Oak LaneKeyser, WV 26726 · Mineral County
Emergency services

Physician 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.

New Patient
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

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.

MARK F. WILT P. A.
Physician Assistant
12502 WILLOWBROOK RD, SUITE 470
CUMBERLAND, MD 21502
Allegany County (240) 964-8724
SHANNON SPRENKLE CRNP
Nurse Practitioner
12502 WILLOWBROOK RD, SUITE 280
CUMBERLAND, MD 21502
Allegany County (240) 964-8750
KRISTEN DAWN EWING PA-C
Physician Assistant (Medical)
12502 WILLOWBROOK RD
CUMBERLAND, MD 21502
Allegany County (240) 964-8740
WESTERN MARYLAND HEALTH SYSTEM CORPORATION
Dietitian, Registered
12502 WILLOWBROOK RD, SUITE 300
CUMBERLAND, MD 21502
Allegany County (240) 964-8342
CARMEN RACHAL REGISTERED DIETITIAN
Dietitian, Registered
12502 WILLOWBROOK RD
CUMBERLAND, MD 21502
Allegany County (240) 964-2310
EMILY TEETS NP
Nurse Practitioner
12502 WILLOWBROOK RD
CUMBERLAND, MD 21502
Allegany County (240) 964-7000
JEAN H RUIZ NP
Nurse Practitioner (Psychiatric/Mental Health)
12502 WILLOWBROOK RD, STE 380
CUMBERLAND, MD 21502
Allegany County (240) 964-8585
MISS JENNIFER ANN PERRIN R.D.
Dietitian, Registered
12502 WILLOWBROOK RD
CUMBERLAND, MD 21502
Allegany County (240) 964-8787

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.

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 2 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.