KELLY LYNN MULLINS FNP
NPI 1083092100
Nurse Practitioner - Family in Omaha, NE

Active since May 08, 2015PECOS EnrolledAccepts Medicare Assignment
13609 CALIFORNIA ST, OMAHA, NE 68154(800) 456-5857 Get Directions Write a Review

NPPES record last updated: May 8, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelly Lynn Mullins Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY LYNN MULLINS FNP (NPI 1083092100) is an individual family provider in Omaha, Nebraska, licensed in Tennessee (APN0000019753) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1083092100
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY LYNN MULLINSCredential: FNP
Location Address13609 CALIFORNIA STOmaha, NE 68154-5260
Mailing Address13609 California StOmaha, NE 68154-5260 · (800) 456-5857
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMay 8, 2015
NPI 1083092100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TN · APN0000019753
13609 CALIFORNIA ST, Omaha, NE 68154

Accepted 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

Kelly Lynn Mullins 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 ID8325349285
PECOS Enrollment IDI20151217002268
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68154 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
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
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.

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.

Physical Therapist
13609 CALIFORNIA ST
OMAHA, NE 68154
General Practice
13609 CALIFORNIA ST
OMAHA, NE 68154
Specialist
13609 CALIFORNIA ST, 200
OMAHA, NE 68154
Registered Nurse (Home Health)
13609 CALIFORNIA ST
OMAHA, NE 68154
Occupational Therapy Assistant
13609 CALIFORNIA ST, SUITE 200
OMAHA, NE 68154
Physical Therapist
13609 CALIFORNIA ST, SUITE 200
OMAHA, NE 68154
Physical Therapy Assistant
13609 CALIFORNIA ST
OMAHA, NE 68154
Occupational Therapist
13609 CALIFORNIA ST
OMAHA, NE 68154

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 Kelly Mullins's NPI number?

The NPI number for Kelly Mullins is 1083092100. It was assigned to this individual provider in the NPPES registry on May 8, 2015.

Where is Kelly Mullins located?

Kelly Mullins practices at 13609 California St, Omaha, NE 68154. The listed phone number is (800) 456-5857.

What is Kelly Mullins's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kelly Mullins enrolled in Medicare?

Yes. Kelly Mullins 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 Kelly Mullins accept?

Health plans from Blue Cross Blue Shield of Arizona list Kelly Mullins 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.

When was this NPI record last updated?

The NPPES record for Kelly Mullins was last updated on May 8, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.