JOSHUA M MULLOY NP
NPI 1376397919
Nurse Practitioner in Fond Du Lac, WI

Q: What is Joshua Mulloy's NPI number?

The NPI number for Joshua Mulloy is 1376397919. It was assigned to this individual provider in the NPPES registry on April 11, 2024.

Q: What is Joshua Mulloy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Joshua Mulloy was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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 April 11, 2024PECOS EnrolledAccepts Medicare Assignment

210 WISCONSIN AMERICAN DR, FOND DU LAC, WI 54937(920) 907-7049 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 16, 2024, Jun 19, 2024, Apr 11, 2024 (3 updates tracked since 2024).

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About Joshua M Mulloy Np NPPES

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

JOSHUA M MULLOY NP (NPI 1376397919) is an individual nurse practitioner in Fond Du Lac, Wisconsin, licensed in Wisconsin (15194-33) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS, is affiliated with Aurora Medical Ctr Oshkosh, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1376397919

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameJOSHUA M MULLOYCredential: NP

Location Address210 WISCONSIN AMERICAN DRFond Du Lac, WI 54937-2999

Mailing AddressPo Box 735044Chicago, IL 60673-5044

Phone(920) 907-7049

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateApril 11, 2024

Last NPPES UpdateSeptember 16, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 16, 2024

✔ NPI 1376397919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in WI · 15194-33

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

210 WISCONSIN AMERICAN DR, Fond Du Lac, WI 54937

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Other Identifiers 1

Medicaid100278020WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.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

Joshua M Mulloy Np 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 ID8921540451

PECOS Enrollment IDI20240611004609

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

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

Aurora Medical Ctr Oshkosh

Acute Care Hospitals · Oshkosh, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520198

Location855 N Westhaven DriveOshkosh, WI 54904 · Winnebago County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54937 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

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.

JEANETTE ROEHL APNP FNP

Nurse Practitioner