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MELLISA MAULDIN PA-C
NPI 1104708221
Physician Assistant in Parkville, MD

Active since July 21, 2025PECOS EnrolledAccepts Medicare Assignment
21 STRABANE CT, PARKVILLE, MD 21234(732) 674-5729 Get Directions Write a Review

NPPES record last updated: July 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mellisa Mauldin Pa-c NPPES

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

MELLISA MAULDIN PA-C (NPI 1104708221) is an individual physician assistant in Parkville, Maryland and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, is affiliated with Greater Baltimore Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1104708221
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMELLISA MAULDINCredential: PA-C
Location Address21 STRABANE CTParkville, MD 21234-1608
Mailing Address21 Strabane CtParkville, MD 21234-1608
Phone(732) 674-5729
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 21, 2025
NPPES CertifiedJuly 21, 2025
✔ NPI 1104708221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
21 STRABANE CT, Parkville, MD 21234
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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

Mellisa Mauldin Pa-c 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 ID5496240202
PECOS Enrollment IDI20251218004636
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.

Greater Baltimore Medical Center

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210044
Location6701 North Charles StreetBaltimore, MD 21204 · Baltimore County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21234 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Mellisa Mauldin's NPI number?

The NPI number for Mellisa Mauldin is 1104708221. It was assigned to this individual provider in the NPPES registry on July 21, 2025.

Where is Mellisa Mauldin located?

Mellisa Mauldin practices at 21 Strabane Ct, Parkville, MD 21234. The listed phone number is (732) 674-5729.

What is Mellisa Mauldin's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mellisa Mauldin enrolled in Medicare?

Yes. Mellisa Mauldin 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.

Is Mellisa Mauldin affiliated with any hospitals?

According to CMS data, Mellisa Mauldin is affiliated with Greater Baltimore Medical Center.

When was this NPI record last updated?

The NPPES record for Mellisa Mauldin was last updated on July 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.