CAROLYN MCMULLIN FNP
NPI 1417747528
Nurse Practitioner - Family in Charlottesville, VA

Active since May 12, 2025PECOS EnrolledAccepts Medicare Assignment
652 PETER JEFFERSON PKWY STE 140, CHARLOTTESVILLE, VA 22911(434) 243-9415 Get Directions Write a Review

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

Record update history: Aug 12, 2025, May 12, 2025 (2 updates tracked since 2025).

About Carolyn Mcmullin Fnp NPPES

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

CAROLYN MCMULLIN FNP (NPI 1417747528) is an individual family provider in Charlottesville, Virginia, licensed in Virginia (0024191038) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Charlottesville, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1417747528
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCAROLYN MCMULLINCredential: FNP
Location Address652 PETER JEFFERSON PKWY STE 140Charlottesville, VA 22911-8851
Mailing AddressPo Box 749112Atlanta, GA 30374-9112 · (434) 295-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMay 12, 2025
Last NPPES UpdateAugust 12, 20252 updates tracked since enumeration
NPPES CertifiedAugust 12, 2025
NPI 1417747528 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 VA · 0024191038
652 PETER JEFFERSON PKWY STE 140, Charlottesville, VA 22911

Secondary Practice Location 1

Location 11215 Lee StCharlottesville, VA 22908-8851 · Phone (434) 243-9415

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

Carolyn Mcmullin Fnp 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 ID4082127014
PECOS Enrollment IDI20250702000337
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 22911 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Otolaryngology
652 PETER JEFFERSON PKWY STE 140
CHARLOTTESVILLE, VA 22911
Otolaryngology
652 PETER JEFFERSON PKWY STE 140
CHARLOTTESVILLE, VA 22911

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 Carolyn Mcmullin's NPI number?

The NPI number for Carolyn Mcmullin is 1417747528. It was assigned to this individual provider in the NPPES registry on May 12, 2025.

Where is Carolyn Mcmullin located?

Carolyn Mcmullin practices at 652 Peter Jefferson Pkwy Ste 140, Charlottesville, VA 22911. The listed phone number is (434) 243-9415.

What is Carolyn Mcmullin's specialty?

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

Is Carolyn Mcmullin enrolled in Medicare?

Yes. Carolyn Mcmullin 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.

When was this NPI record last updated?

The NPPES record for Carolyn Mcmullin was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.