KATHERINE PHILLIPS MCMULLAN M.D.
NPI 1881952711
Family Medicine in Jacksonville, FL

Q: What is Katherine Mcmullan's NPI number?

The NPI number for Katherine Mcmullan is 1881952711. It was assigned to this individual provider in the NPPES registry on April 28, 2012. The provider is also known as Katherine Jane Phillips.

Q: What is Katherine Mcmullan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since April 28, 2012PECOS Enrolled

12620 BEACH BLVD STE 13, JACKSONVILLE, FL 32246(904) 633-0585(904) 633-0586 Get Directions Write a Review

NPPES record last updated: October 18, 2018. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 18, 2018, Nov 9, 2015 (2 updates tracked since 2015).

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About Katherine Phillips Mcmullan M.d. NPPES

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

KATHERINE PHILLIPS MCMULLAN M.D. (NPI 1881952711) is an individual family medicine provider in Jacksonville, Florida, licensed in Florida (ME118093) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881952711

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameKATHERINE PHILLIPS MCMULLANCredential: M.D.

Location Address12620 BEACH BLVD STE 13Jacksonville, FL 32246-7130

Mailing AddressPo Box 44008Jacksonville, FL 32231-4008 · (904) 244-3312 · Fax (904) 244-3425

Phone(904) 633-0585

Fax(904) 633-0586

Sole ProprietorNo

Enumeration DateApril 28, 2012

Last NPPES UpdateOctober 18, 20182 updates tracked since enumeration

✔ NPI 1881952711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in FL · ME118093✔ Licensed in NC · 2015-01832

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

12620 BEACH BLVD STE 13, Jacksonville, FL 32246

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Other Names 1

Former Name (1)Katherine Jane Phillips

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katherine Phillips Mcmullan M.d. 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.

Medicare Billing Reassignments

Medicare enrollment records show Katherine Mcmullan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Florida Jacksonville Physicians, Inc.

11 mi

Internal Medicine

653 W 8TH ST, UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS, INC.
Jacksonville, FL 32209

Reassigned Medicare billing, Florida enrollment
573 clinicians in this Medicare group

NPI 1144276452 (904) 244-3500

Mayo Clinic Health System-Southwest Wisconsin Region, Inc.

1,075 mi

Multi-Specialty

800 WEST AVE S
La Crosse, WI 54601

Reassigned Medicare billing, Wisconsin enrollment
1,003 clinicians in this Medicare group

NPI 1629056049 (608) 392-3861

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32246 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTINA CORPUS-PIEPENBRINK DO

Family Medicine

12620 BEACH BLVD STE 13
JACKSONVILLE, FL 32246

Duval County (904) 633-0585

JESU MISAJON TRIAS ARNP

Nurse Practitioner (Family)

12620 BEACH BLVD STE 13
JACKSONVILLE, FL 32246

Duval County (904) 633-0585

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 Katherine Mcmullan's NPI number?

The NPI number for Katherine Mcmullan is 1881952711. It was assigned to this individual provider in the NPPES registry on April 28, 2012. The provider is also known as Katherine Jane Phillips.

Where is Katherine Mcmullan located?

Katherine Mcmullan practices at 12620 Beach Blvd Ste 13, Jacksonville, FL 32246. The listed phone number is (904) 633-0585.

What is Katherine Mcmullan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Katherine Mcmullan enrolled in Medicare?

Yes. Katherine Mcmullan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Katherine Mcmullan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Mcmullan reassigns Medicare benefits to 2 organizations: University Of Florida Jacksonville Physicians, Inc. (Jacksonville, FL) and Mayo Clinic Health System-Southwest Wisconsin Region, Inc. (La Crosse, WI). 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 Katherine Mcmullan'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 Katherine Mcmullan was last updated on October 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.