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ICIE HUTCHESON MULLIS APRN
NPI 1114545647
Nurse Practitioner - Family in Columbia, SC

Active since July 10, 2020PECOS Enrolled
74.68/100
CMS Quality Rating
1333 TAYLOR ST, COLUMBIA, SC 29201(803) 296-5914(803) 296-5902 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 12, 2025, Dec 4, 2023, Nov 25, 2022 and 2 more (5 updates tracked since 2020).

About Icie Hutcheson Mullis Aprn NPPES

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

ICIE HUTCHESON MULLIS APRN (NPI 1114545647) is an individual family provider in Columbia, South Carolina, licensed in South Carolina (24046) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1114545647
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameICIE HUTCHESON MULLISCredential: APRN
Location Address1333 TAYLOR STColumbia, SC 29201-2923
Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 695-6697
Phone(803) 296-5914
Fax(803) 296-5902
Sole ProprietorYes
Enumeration DateJuly 10, 2020
Last NPPES UpdateFebruary 12, 20255 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2025
✔ NPI 1114545647 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 SC · 24046
1333 TAYLOR ST, Columbia, SC 29201
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1900 Assembly StColumbia, SC 29201-3938 · Phone (866) 389-2727
Location 21235 Mullis RoadBlythewood, SC 29016 · Phone (803) 331-6613
Location 31910 Gregg StColumbia, SC 29201-2618 · Phone (803) 779-5959 · Fax (803) 799-9353

Other Identifiers 2

Other1114545647SC · Npi
Other24046SC · Aprn

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Icie Hutcheson Mullis 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 29201 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

74.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality48.33
Improvement Activities40
Cost84.5

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.

DR. BHAVANA R YAJNIK M.D.
Pediatrics (Neonatal-Perinatal Medicine)
1333 TAYLOR ST, SUITE 6A
COLUMBIA, SC 29201
Richland County (803) 254-2706
SLEEPMED THERAPIES, INC.
Durable Medical Equipment & Medical Supplies
1333 TAYLOR ST, 6C
COLUMBIA, SC 29201
Richland County (803) 296-5847
DR. ERIC COATES M.D.
Pediatrics (Neonatal-Perinatal Medicine)
1333 TAYLOR ST, SUITE 6A
COLUMBIA, SC 29201
Richland County (803) 254-2706
PALMETTO HEALTH
Internal Medicine (Pulmonary Disease)
1333 TAYLOR ST, SUITE 6F
COLUMBIA, SC 29201
Richland County (803) 296-3273
SANDRA ELLEN HARDEE MD
Family Medicine
1333 TAYLOR ST
COLUMBIA, SC 29201
Richland County (803) 296-5914
PALMETTO HEALTH
Psychiatry & Neurology (Neurology)
1333 TAYLOR ST, SUITE 2A
COLUMBIA, SC 29201
Richland County (803) 296-3429
ERICA BARTLEY BSN, RN, CWOCN
Registered Nurse (Wound Care)
1333 TAYLOR ST, SUITE 4-E
COLUMBIA, SC 29201
Richland County (803) 296-8906
JAMES BRICE DICKSON MD
Specialist
1333 TAYLOR ST, SUITE 4G
COLUMBIA, SC 29201
Richland County (803) 799-9919

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 Icie Mullis's NPI number?

The NPI number for Icie Mullis is 1114545647. It was assigned to this individual provider in the NPPES registry on July 10, 2020.

Where is Icie Mullis located?

Icie Mullis practices at 1333 Taylor St, Columbia, SC 29201. The listed phone number is (803) 296-5914.

What is Icie Mullis's specialty?

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

Is Icie Mullis enrolled in Medicare?

Yes. Icie Mullis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Icie Mullis was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.