MR. NATHANAEL LEWIS MULLINS
NPI 1871482174
Nurse Practitioner - Adult Health in Johnson City, TN

Q: What is Nathanael Mullins's NPI number?

The NPI number for Nathanael Mullins is 1871482174. It was assigned to this individual provider in the NPPES registry on July 1, 2025.

Q: What is Nathanael Mullins's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Nathanael Mullins was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 01, 2025PECOS Enrolled

301 MED TECH PKWY STE 240, JOHNSON CITY, TN 37604(423) 794-5520(423) 282-6940 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 6, 2026, Jul 1, 2025 (2 updates tracked since 2025).

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About Mr. Nathanael Lewis Mullins NPPES

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

MR. NATHANAEL LEWIS MULLINS (NPI 1871482174) is an individual adult health provider in Johnson City, Tennessee, licensed in Tennessee (41695) and active in the NPI registry since July 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1871482174

Entity TypeIndividualMale

Primary Taxonomy363LA2200X

Provider Legal NameMR. NATHANAEL LEWIS MULLINS

Location Address301 MED TECH PKWY STE 240Johnson City, TN 37604-2641

Mailing Address205 Tunnell Hill RdRogersville, TN 37857-7706

Phone(423) 794-5520

Fax(423) 282-6940

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJuly 1, 2025

Last NPPES UpdateApril 6, 20262 updates tracked since enumeration

NPPES CertifiedApril 6, 2026

✔ NPI 1871482174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in TN · 41695

Also ListedRegistered NurseTaxonomy 163W00000X · License 272381 (TN)

301 MED TECH PKWY STE 240, Johnson City, TN 37604

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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)

Mr. Nathanael Lewis Mullins is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385115393

PECOS Enrollment IDI20260609004790

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 37604 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

ELIZABETH A PETTEY NP

Nurse Practitioner