CARLY ANN MULLOY
NPI 1689400749
Counselor - Professional in Media, PA
About Carly Ann Mulloy NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARLY ANN MULLOY (NPI 1689400749) is an individual professional provider in Media, Pennsylvania, licensed in Pennsylvania (PC017553) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Carly Ann Mulloy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Carly Mulloy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Pottsville, PA 17901
- Reassigned Medicare billing, Pennsylvania enrollment
- 4,429 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
MEDIA, PA 19063
MEDIA, PA 19063
MEDIA, PA 19063
MEDIA, PA 19063
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 Carly Mulloy's NPI number?
The NPI number for Carly Mulloy is 1689400749. It was assigned to this individual provider in the NPPES registry on September 13, 2024.
Where is Carly Mulloy located?
Carly Mulloy practices at 100 Yearsley Mill Rd, Media, PA 19063. The listed phone number is (484) 227-1439.
What is Carly Mulloy's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Carly Mulloy enrolled in Medicare?
Yes. Carly Mulloy is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Carly Mulloy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carly Mulloy reassigns Medicare benefits to Geisinger Clinic (Pottsville, PA). The 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 Carly Mulloy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Carly Mulloy was last updated on September 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Carly Ann Mulloy · NPI 1689400749
Professional provider in Media, Pennsylvania. Individual provider, active in the CMS NPPES registry since September 13, 2024.
## Identity
- **NPI:** 1689400749 (Entity type: Individual)
- **Enumerated:** September 13, 2024
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** PC017553 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 YEARSLEY MILL RD, Media, PA 19063-5593
- **Phone:** (484) 227-1439
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Geisinger Clinic (NPI 1043261183, Pottsville, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** September 13, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1689400749) · Data from the CMS NPPES public registry.