MR. CHARLES NEWTON MULLICAN ACNP
NPI 1750612669
Nurse Practitioner - Acute Care in Saint Louis, MO

Active since January 18, 2010PECOS EnrolledAccepts Medicare Assignment
79.29/100
CMS Quality Rating
400 S KINGSHIGHWAY BLVD, DEPT EMERGENCY MED, SAINT LOUIS, MO 63110(314) 362-9123(314) 747-3338 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 25, 2024, Apr 10, 2024, Nov 15, 2021 and 3 more (6 updates tracked since 2015).

About Mr. Charles Newton Mullican Acnp NPPES

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

MR. CHARLES NEWTON MULLICAN ACNP (NPI 1750612669) is an individual acute care provider in Saint Louis, Missouri, licensed in Missouri (2010010952) and active in the NPI registry since January 2010. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Deland, and is a graduate of St. Louis College Of Physicians And Surgeons (2010).

NPPES Registry Identity

NPI1750612669
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameMR. CHARLES NEWTON MULLICANCredential: ACNP
Location Address400 S KINGSHIGHWAY BLVD, DEPT EMERGENCY MEDSaint Louis, MO 63110-1014
Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 362-9123 · Fax (314) 747-3338
Fax(314) 747-3338
Sole ProprietorNo
Medical School CMSSt. Louis College Of Physicians And SurgeonsGraduated 2010
Enumeration DateJanuary 18, 2010
Last NPPES UpdateApril 17, 20256 updates tracked since enumeration
NPI 1750612669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in MO · 2010010952
400 S KINGSHIGHWAY BLVD, Saint Louis, MO 63110

Other Identifiers 1

Medicaid424152601MO

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Charles Newton Mullican Acnp 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 ID7810020088
PECOS Enrollment IDI20100809000932
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
69 services68 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
28 services28 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
24 services24 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
11 services11 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Adventhealth Deland

Acute Care Hospitals · Deland, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100045
Location701 W Plymouth AveDeland, FL 32720 · Volusia County
Emergency services

Adventhealth Sebring

Acute Care Hospitals · Sebring, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100109
Location4200 Sun N Lake BlvdSebring, FL 33872 · Highlands County
Emergency services Birthing friendly

St Elizabeth Florence

Acute Care Hospitals · Florence, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180045
Location4900 Houston RoadFlorence, KY 41042 · Boone County
Emergency services

Meadville Medical Center

Acute Care Hospitals · Meadville, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390113
Location751 Liberty StreetMeadville, PA 16335 · Crawford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63110 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.46
Promoting Interoperability100
Improvement Activities40
Cost59.51

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.

Emergency Medicine
400 S KINGSHIGHWAY BLVD, DEPT EMERGENCY MED
SAINT LOUIS, MO 63110
Nurse Practitioner
400 S KINGSHIGHWAY BLVD, DEPT EMERGENCY MEDICINE
SAINT LOUIS, MO 63110
Emergency Medicine
400 S KINGSHIGHWAY BLVD, DEPT EMERGENCY MED
SAINT LOUIS, MO 63110
Emergency Medicine
400 S KINGSHIGHWAY BLVD, DEPT EMERGENCY MED
SAINT LOUIS, MO 63110
Emergency Medicine
400 S KINGSHIGHWAY BLVD, DEPT EMERGENCY MED
SAINT LOUIS, MO 63110
Emergency Medicine
400 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63110
Physician Assistant
400 S KINGSHIGHWAY BLVD, DEPT EMERGENCY MED
SAINT LOUIS, MO 63110
Emergency Medicine
400 S KINGSHIGHWAY BLVD, DEPT EMERGENCY MED
SAINT LOUIS, MO 63110

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 Charles Mullican's NPI number?

The NPI number for Charles Mullican is 1750612669. It was assigned to this individual provider in the NPPES registry on January 18, 2010.

Where is Charles Mullican located?

Charles Mullican practices at 400 S Kingshighway Blvd Dept Emergency Med, Saint Louis, MO 63110. The listed phone number is (314) 362-9123.

What is Charles Mullican's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Charles Mullican enrolled in Medicare?

Yes. Charles Mullican 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.

Is Charles Mullican affiliated with any hospitals?

According to CMS data, Charles Mullican is affiliated with Adventhealth Deland, Adventhealth Sebring, St Elizabeth Florence and Meadville Medical Center.

When was this NPI record last updated?

The NPPES record for Charles Mullican was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.