MARK MCMULLEN
NPI 1710689252
Student in an Organized Health Care Education/Training Program in Nashville, TN

Active since March 20, 2023PECOS EnrolledAccepts Medicare Assignment
3441 DICKERSON PIKE, NASHVILLE, TN 37207(615) 769-2000 Get Directions Write a Review

NPPES record last updated: March 20, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mark Mcmullen NPPES

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

MARK MCMULLEN (NPI 1710689252) is an individual student in an organized health care education/training program in Nashville, Tennessee and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Lake City Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1710689252
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMARK MCMULLEN
Location Address3441 DICKERSON PIKENashville, TN 37207-2539
Mailing Address3441 Dickerson PikeNashville, TN 37207-2539 · (615) 769-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 20, 2023
NPPES CertifiedMarch 20, 2023
✔ NPI 1710689252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3441 DICKERSON PIKE, Nashville, TN 37207

Accepted Insurance

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

Mark Mcmullen 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 ID446619241
PECOS Enrollment IDI20260408000120
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 Mark Mcmullen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
200 AVENUE F NE
Winter Haven, FL 33881
  • Reassigned Medicare billing, Florida enrollment
  • 1,065 clinicians in this Medicare group
Emergency Medicine
20900 BISCAYNE BLVD
Aventura, FL 33180
  • Reassigned Medicare billing, Florida enrollment
  • 1,912 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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hca Florida Lake City Hospital

Acute Care Hospitals · Lake City, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100156
Location340 NW Commerce DrLake City, FL 32055 · Columbia County
Emergency services

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.

Nurse Practitioner (Acute Care)
3441 DICKERSON PIKE
NASHVILLE, TN 37207
Physician Assistant
3441 DICKERSON PIKE
NASHVILLE, TN 37207
Emergency Medicine
3441 DICKERSON PIKE
NASHVILLE, TN 37207
Nurse Practitioner (Family)
3441 DICKERSON PIKE
NASHVILLE, TN 37207
Student in an Organized Health Care Education/Training Program
3441 DICKERSON PIKE
NASHVILLE, TN 37207
Radiology (Radiation Oncology)
3441 DICKERSON PIKE, SARAH CANNON CANCER CENTER
NASHVILLE, TN 37207
Internal Medicine
3441 DICKERSON PIKE
NASHVILLE, TN 37207
Nurse Practitioner (Family)
3441 DICKERSON PIKE
NASHVILLE, TN 37207

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 Mark Mcmullen's NPI number?

The NPI number for Mark Mcmullen is 1710689252. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Where is Mark Mcmullen located?

Mark Mcmullen practices at 3441 Dickerson Pike, Nashville, TN 37207. The listed phone number is (615) 769-2000.

What is Mark Mcmullen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mark Mcmullen enrolled in Medicare?

Yes. Mark Mcmullen 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.

Which organizations bill Medicare for Mark Mcmullen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Mcmullen reassigns Medicare benefits to 2 organizations: Paragon Emergency Services LLC (Winter Haven, FL) and Emergency Medicine Services Of Fl, LLC (Aventura, FL). 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 Mark Mcmullen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Mcmullen accept?

Health plans from Oscar Health Maintenance Organization of Florida list Mark Mcmullen 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.

Is Mark Mcmullen affiliated with any hospitals?

According to CMS data, Mark Mcmullen is affiliated with Hca Florida Lake City Hospital.

When was this NPI record last updated?

The NPPES record for Mark Mcmullen was last updated on March 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.