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JENNIFER LATRISE MULLEN DO
NPI 1588892483
Pediatrics in Maumee, OH

Active since June 30, 2009PECOS Enrolled
660 BEAVER CREEK CIR, SUITE 100, MAUMEE, OH 43537(419) 891-6221(419) 893-3394 Get Directions Write a Review

NPPES record last updated: January 16, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 3, 2023, Jun 1, 2017 (2 updates tracked since 2017).

About Jennifer Latrise Mullen Do NPPES

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

JENNIFER LATRISE MULLEN DO (NPI 1588892483) is an individual pediatrics provider in Maumee, Ohio, licensed in Texas (V4441) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1588892483
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameJENNIFER LATRISE MULLENCredential: DO
Location Address660 BEAVER CREEK CIR, SUITE 100Maumee, OH 43537-1745
Mailing Address660 Beaver Creek Cir, Suite 100Maumee, OH 43537-1745 · (419) 891-6221 · Fax (419) 893-3394
Phone(419) 891-6221
Fax(419) 893-3394
Sole ProprietorNo
Enumeration DateJune 30, 2009
Last NPPES UpdateJanuary 16, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2025
✔ NPI 1588892483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in TX · V4441✔ Licensed in OH · 34010645
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
660 BEAVER CREEK CIR, Maumee, OH 43537
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Secondary Practice Location 1

Location 1920 Frostwood Dr Ste 2.300Houston, TX 77024-2314 · Phone (713) 338-5519

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CareSource, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Latrise Mullen Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

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

Promedica Central Physicians
9.5 mi
Family Medicine
100 MADISON AVE, MSC-S38805
Toledo, OH 43604
  • Reassigned Medicare billing, Ohio enrollment
  • 1,072 clinicians in this Medicare group
NPI 1043270150 (567) 585-1964
Memorial Hermann Medical Group
1,066 mi
Family Medicine
6631 W CROSS CREEK BEND LN STE 200
Fulshear, TX 77441
  • Reassigned Medicare billing, Texas enrollment
  • 1,235 clinicians in this Medicare group
NPI 1003985102 (832) 658-5750

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 43537 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

CHIT-GUAN GOH MD
Pediatrics
660 BEAVER CREEK CIR, SUITE 100
MAUMEE, OH 43537
Lucas County (419) 891-6221
SHARI SONTCHI MD
Pediatrics
660 BEAVER CREEK CIR, SUITE 100
MAUMEE, OH 43537
Lucas County (419) 891-6221
ANNE T RUCH MD
Obstetrics & Gynecology
660 BEAVER CREEK CIR, SUITE 200
MAUMEE, OH 43537
Lucas County (419) 891-6201
REBECCA CLARK MD
Pediatrics
660 BEAVER CREEK CIR, SUITE 100
MAUMEE, OH 43537
Lucas County (419) 891-6221
RENEE E MASON MD
Obstetrics & Gynecology
660 BEAVER CREEK CIR, SUITE 200
MAUMEE, OH 43537
Lucas County (419) 891-6201
KIM CONFER-SEELEY MD
Obstetrics & Gynecology
660 BEAVER CREEK CIR, SUITE 200
MAUMEE, OH 43537
Lucas County (419) 891-6201
DR. SHANNON MICHELLE CONNOLE D.O.
Obstetrics & Gynecology
660 BEAVER CREEK CIR, SUITE 200
MAUMEE, OH 43537
Lucas County (419) 891-6201
PROMEDICA CENTRAL PHYSICIANS, LLC
Pediatrics
660 BEAVER CREEK CIR, SUITE 100
MAUMEE, OH 43537
Lucas County (419) 891-6221

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 Jennifer Mullen's NPI number?

The NPI number for Jennifer Mullen is 1588892483. It was assigned to this individual provider in the NPPES registry on June 30, 2009.

Where is Jennifer Mullen located?

Jennifer Mullen practices at 660 Beaver Creek Cir Suite 100, Maumee, OH 43537. The listed phone number is (419) 891-6221.

What is Jennifer Mullen's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jennifer Mullen enrolled in Medicare?

Yes. Jennifer Mullen is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jennifer Mullen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Mullen reassigns Medicare benefits to 2 organizations: Promedica Central Physicians (Toledo, OH) and Memorial Hermann Medical Group (Fulshear, TX). Each 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 Jennifer Mullen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Mullen accept?

Health plans from Blue Cross and Blue Shield of Texas, CareSource, Oscar Insurance Company and WellPoint list Jennifer Mullen 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.

When was this NPI record last updated?

The NPPES record for Jennifer Mullen was last updated on January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.