MRS. RYLIE PATRICIA MULLIN PA-C
NPI 1114717220
Physician Assistant in Jacksonville, NC

Q: What is Rylie Mullin's NPI number?

The NPI number for Rylie Mullin is 1114717220. It was assigned to this individual provider in the NPPES registry on May 12, 2025.

Q: What is Rylie Mullin's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Rylie Mullin was last updated on February 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since May 12, 2025PECOS Enrolled

461 WESTERN BLVD STE 122, JACKSONVILLE, NC 28546(910) 333-0283(910) 333-0513 Get Directions Write a Review

NPPES record last updated: February 16, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Rylie Patricia Mullin Pa-c NPPES

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

MRS. RYLIE PATRICIA MULLIN PA-C (NPI 1114717220) is an individual physician assistant in Jacksonville, North Carolina, licensed in North Carolina (0010-16276) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1114717220

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMRS. RYLIE PATRICIA MULLINCredential: PA-C

Location Address461 WESTERN BLVD STE 122Jacksonville, NC 28546-7637

Mailing Address461 Western Blvd Ste 122Jacksonville, NC 28546-7637 · (910) 333-0283 · Fax (910) 333-0513

Phone(910) 333-0283

Fax(910) 333-0513

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateMay 12, 2025

Last NPPES UpdateFebruary 16, 2026

NPPES CertifiedFebruary 16, 2026

✔ NPI 1114717220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NC · 0010-16276

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.

461 WESTERN BLVD STE 122, Jacksonville, NC 28546

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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 (PECOS)

Mrs. Rylie Patricia Mullin Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234611344

PECOS Enrollment IDI20260306000730

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 28546 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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.

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.

MRS. ZOEY BARTON SHIFFLETT DNP, FNP-C

Nurse Practitioner (Family)