EDNA ROTHMAN MULLALLY DNP, FNP-C
NPI 1629687553
Nurse Practitioner - Family in Kitty Hawk, NC

Q: What is Edna Mullally's NPI number?

The NPI number for Edna Mullally is 1629687553. It was assigned to this individual provider in the NPPES registry on July 27, 2020.

Q: What is Edna Mullally's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Edna Mullally was last updated on March 22, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 27, 2020PECOS Enrolled

5200 N CROATAN HWY, KITTY HAWK, NC 27949(252) 261-4187(833) 989-2346 Get Directions Write a Review

NPPES record last updated: March 22, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 13, 2023, Nov 1, 2022, Jul 27, 2020 (3 updates tracked since 2020).

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About Edna Rothman Mullally Dnp, Fnp-c NPPES

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

EDNA ROTHMAN MULLALLY DNP, FNP-C (NPI 1629687553) is an individual family provider in Kitty Hawk, North Carolina, licensed in North Carolina (5017152) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629687553

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameEDNA ROTHMAN MULLALLYCredential: DNP, FNP-C

Location Address5200 N CROATAN HWYKitty Hawk, NC 27949-3990

Mailing AddressPo Box 2287Kitty Hawk, NC 27949-2287 · (252) 261-4187 · Fax (833) 989-2346

Phone(252) 261-4187

Fax(833) 989-2346

Sole ProprietorNo

Enumeration DateJuly 27, 2020

Last NPPES UpdateMarch 22, 20243 updates tracked since enumeration

NPPES CertifiedMarch 22, 2024

✔ NPI 1629687553 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 NC · 5017152

5200 N CROATAN HWY, Kitty Hawk, NC 27949

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edna Rothman Mullally Dnp, Fnp-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27949 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

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