MAGGIE KESHIA MULLINS NP
NPI 1336764406
Nurse Practitioner - Family in Bristol, TN
About Maggie Keshia Mullins Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAGGIE KESHIA MULLINS NP (NPI 1336764406) is an individual family provider in Bristol, Tennessee, licensed in Tennessee (27770) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Maggie Keshia Mullins Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Maggie Mullins reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Johnson City, TN 37604
- Reassigned Medicare billing, Tennessee enrollment
- 284 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 37620 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BRISTOL, TN 37620
BRISTOL, TN 37620
BRISTOL, TN 37620
BRISTOL, TN 37620
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 Maggie Mullins's NPI number?
The NPI number for Maggie Mullins is 1336764406. It was assigned to this individual provider in the NPPES registry on June 14, 2020.
Where is Maggie Mullins located?
Maggie Mullins practices at 1 Medical Park Blvd, Bristol, TN 37620. The listed phone number is (423) 844-1121.
What is Maggie Mullins's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Maggie Mullins enrolled in Medicare?
Yes. Maggie Mullins is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Maggie Mullins's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Maggie Mullins reassigns Medicare benefits to Tri-Cities Regional Emergency Physicians, PC (Johnson City, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Maggie Mullins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Maggie Mullins was last updated on July 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.
# Maggie Keshia Mullins, NP · NPI 1336764406
Family physician in Bristol, Tennessee. Individual provider, active in the CMS NPPES registry since June 14, 2020.
## Identity
- **NPI:** 1336764406 (Entity type: Individual)
- **Enumerated:** June 14, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 27770 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 MEDICAL PARK BLVD, Bristol, TN 37620-7430
- **Phone:** (423) 844-1121
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Tri-Cities Regional Emergency Physicians, PC (NPI 1063950046, Johnson City, TN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 23, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1336764406) · Data from the CMS NPPES public registry.