MULLISSA MICHELLE CHILDRESS APRN
NPI 1104827492
Nurse Practitioner - Primary Care in Las Vegas, NV

Q: What is Mullissa Childress's NPI number?

The NPI number for Mullissa Childress is 1104827492. It was assigned to this individual provider in the NPPES registry on August 9, 2005.

Q: What is Mullissa Childress's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Active since August 09, 2005PECOS Enrolled

8680 W CHEYENNE AVE, LAS VEGAS, NV 89129(702) 877-5088 Get Directions Write a Review

NPPES record last updated: November 4, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 21, 2024, Nov 4, 2021, Jul 12, 2019 and 3 more (6 updates tracked since 2016).

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About Mullissa Michelle Childress Aprn NPPES

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

MULLISSA MICHELLE CHILDRESS APRN (NPI 1104827492) is an individual primary care provider in Las Vegas, Nevada, licensed in Nevada (APRN002193) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104827492

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameMULLISSA MICHELLE CHILDRESSCredential: APRN

Location Address8680 W CHEYENNE AVELas Vegas, NV 89129-7458

Mailing AddressPo Box 35380Las Vegas, NV 89133-5380 · (702) 877-5088

Phone(702) 877-5088

Sole ProprietorNo

Enumeration DateAugust 9, 2005

Last NPPES UpdateNovember 4, 20216 updates tracked since enumeration

NPPES CertifiedNovember 4, 2021

✔ NPI 1104827492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

Licenses✔ Licensed in NV · APRN002193✔ Licensed in OH · 16446-NP

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License F0714788 (OH)

8680 W CHEYENNE AVE, Las Vegas, NV 89129

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Other Identifiers 2

Medicaid0129662OH

Medicaid0113011OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc., 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 (PECOS)

Mullissa Michelle Childress Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 89129 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

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

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.

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Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAROL ANN KRISAN M OMANDAC FNP-C

Nurse Practitioner (Family)