KELLY LYNN MULLINS FNP
NPI 1083092100
Nurse Practitioner - Family in Omaha, NE
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
Specialties & Licenses
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
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.
Medicare Billing Reassignments
3Medicare enrollment records show Kelly Mullins reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Safford, AZ 85546
- Reassigned Medicare billing, Arizona enrollment
- 49 clinicians in this Medicare group
Douglas, AZ 85607
- Reassigned Medicare billing, Arizona enrollment
- 30 clinicians in this Medicare group
Douglas, AZ 85607
- Reassigned Medicare billing, Arizona enrollment
- Medicare enrollment name: Community Intervention Associates Inc.
- 34 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.
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.
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.
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.
Which organizations bill Medicare for Kelly Mullins's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Mullins reassigns Medicare benefits to 3 organizations: Community Partners Integrated Healthcare, Inc. (Safford, AZ), Pinal Hispanic Council (Douglas, AZ) and Community Intervention Assciates, Inc (Douglas, AZ). 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 Kelly Mullins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Mullins accept?
Health plans from Ambetter from Arizona Complete Health and 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.
# Kelly Lynn Mullins, FNP · NPI 1083092100
Family physician in Omaha, Nebraska. Individual provider, active in the CMS NPPES registry since May 8, 2015.
## Identity
- **NPI:** 1083092100 (Entity type: Individual)
- **Enumerated:** May 8, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APN0000019753 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 13609 CALIFORNIA ST, Omaha, NE 68154-5260
- **Phone:** (800) 456-5857
## 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): Community Partners Integrated Healthcare, Inc. (NPI 1619279155, Safford, AZ); Pinal Hispanic Council (NPI 1588966717, Douglas, AZ); Community Intervention Assciates, Inc (NPI 1245523364, Douglas, AZ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** May 8, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1083092100) · Data from the CMS NPPES public registry.