MARIE MULLIGAN M.D.
NPI 1477682896
Family Medicine in Santa Rosa, CA

Q: What is Marie Mulligan's NPI number?

The NPI number for Marie Mulligan is 1477682896. It was assigned to this individual provider in the NPPES registry on March 2, 2007.

Q: What is Marie Mulligan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Marie Mulligan was last updated on August 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since March 02, 2007PECOS EnrolledAccepts Medicare Assignment

1110 N DUTTON AVE, SANTA ROSA, CA 95401(707) 303-3600 Get Directions Write a Review

NPPES record last updated: August 8, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Marie Mulligan M.d. NPPES

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

MARIE MULLIGAN M.D. (NPI 1477682896) is an individual family medicine provider in Santa Rosa, California, licensed in California (G53063) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Santa Rosa, and is a graduate of University Of California, Davis School Of Medicine (1983).

NPPES Registry Identity

NPI1477682896

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMARIE MULLIGANCredential: M.D.

Location Address1110 N DUTTON AVESanta Rosa, CA 95401-4606

Mailing Address751 Lombardi Ct Ste BSanta Rosa, CA 95407-6793 · (707) 547-2222 · Fax (707) 547-2229

Phone(707) 303-3600

Sole ProprietorNo

Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 1983

Enumeration DateMarch 2, 2007

Last NPPES UpdateAugust 8, 2018

✔ NPI 1477682896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · G53063

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1110 N DUTTON AVE, Santa Rosa, CA 95401

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Secondary Practice Location 1

Location 1751 Lombardi Ct Ste BSanta Rosa, CA 95407-6793 · Phone (707) 547-2222 · Fax (707) 547-2229

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marie Mulligan M.d. 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 ID6901055664

PECOS Enrollment IDI20230727003834

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.

Medicare Billing Reassignments

Medicare enrollment records show Marie Mulligan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Santa Rosa Community Health Centers

0.5 mi

Federally Qualified Health Center (FQHC)

1300 N DUTTON AVE
Santa Rosa, CA 95401

Reassigned Medicare billing, California enrollment
215 clinicians in this Medicare group

NPI 1780195255 (707) 303-3600

Sutter Bay Medical Foundation

49 mi

Multi-Specialty

12 CAMINO ENCINAS
Orinda, CA 94563

Reassigned Medicare billing, California enrollment
4,479 clinicians in this Medicare group

NPI 1366898538 (510) 204-8180

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 95401 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

$96.16 typical visit price

range $63.04 – $187.01

Typical copayment $24.04 (range $15.76 – $46.75)

Most-billed visit code 99203

Established Patient

$109.88 typical visit price

range $21.02 – $153.40

Typical copayment $27.47 (range $5.25 – $38.35)

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 13

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

EDMEE MARGUERITE DANAN MD

Neuromusculoskeletal Medicine & OMM