KIMBERLEY MULLIN PA-C
NPI 1124437108
Physician Assistant in Saint Paul, MN

Active since August 04, 2014PECOS EnrolledAccepts Medicare Assignment
83.53/100
CMS Quality Rating
1021 BANDANA BLVD E, SUITE 100, SAINT PAUL, MN 55108(651) 241-9700(651) 241-3681 Get Directions Write a Review

NPPES record last updated: November 10, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kimberley Mullin Pa-c NPPES

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

KIMBERLEY MULLIN PA-C (NPI 1124437108) is an individual physician assistant in Saint Paul, Minnesota, licensed in Minnesota (2138) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS, is affiliated with Allina United Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1124437108
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKIMBERLEY MULLINCredential: PA-C
Location Address1021 BANDANA BLVD E, SUITE 100Saint Paul, MN 55108-5113
Mailing Address1021 Bandana Blvd E, Suite 100Saint Paul, MN 55108-5113 · (651) 241-9700 · Fax (651) 241-3681
Fax(651) 241-3681
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 4, 2014
Last NPPES UpdateNovember 10, 2020
NPPES CertifiedNovember 10, 2020
NPI 1124437108 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 MN · 2138
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.
1021 BANDANA BLVD E, Saint Paul, MN 55108

Accepted Insurance

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

Kimberley Mullin 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 ID5991925257
PECOS Enrollment IDI20141008001907
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 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Allina United Hospital

Acute Care Hospitals · Saint Paul, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240038
Location333 North Smith AvenueSaint Paul, MN 55102 · Ramsey County
Emergency services Birthing friendly

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240057
Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55108 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

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.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

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.

Family Medicine
1021 BANDANA BLVD E, STE 100
ST PAUL, MN 55108
Physician Assistant
1021 BANDANA BLVD E
SAINT PAUL, MN 55108
Physician Assistant
1021 BANDANA BLVD E, SUITE 100
SAINT PAUL, MN 55108
Nurse Practitioner (Family)
1021 BANDANA BLVD E
SAINT PAUL, MN 55108
Nurse Practitioner (Gerontology)
1021 BANDANA BLVD E, SUITE 200
SAINT PAUL, MN 55108
Internal Medicine
1021 BANDANA BLVD E, STE 100
SAINT PAUL, MN 55108
Dentist (Pediatric Dentistry)
1021 BANDANA BLVD E, SUITE 121
SAINT PAUL, MN 55108
Internal Medicine (Infectious Disease)
1021 BANDANA BLVD E, STE 100
SAINT PAUL, MN 55108

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 Kimberley Mullin's NPI number?

The NPI number for Kimberley Mullin is 1124437108. It was assigned to this individual provider in the NPPES registry on August 4, 2014.

Where is Kimberley Mullin located?

Kimberley Mullin practices at 1021 Bandana Blvd E Suite 100, Saint Paul, MN 55108. The listed phone number is (651) 241-9700.

What is Kimberley Mullin's specialty?

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

Is Kimberley Mullin enrolled in Medicare?

Yes. Kimberley Mullin 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.

What insurance does Kimberley Mullin accept?

Health plans from HealthPartners and Medica list Kimberley Mullin 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.

Is Kimberley Mullin affiliated with any hospitals?

According to CMS data, Kimberley Mullin is affiliated with Allina United Hospital and Abbott Northwestern Hospital.

When was this NPI record last updated?

The NPPES record for Kimberley Mullin was last updated on November 10, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.