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KATRINA RAYNE MULLEN PA-C
NPI 1912580168
Physician Assistant in Bradenton, FL

Active since May 04, 2021PECOS EnrolledAccepts Medicare Assignment
5215 E STATE ROAD 64, BRADENTON, FL 34208(971) 907-3400(941) 907-4202 Get Directions Write a Review

NPPES record last updated: February 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 26, 2025, Dec 12, 2024, May 4, 2021 (3 updates tracked since 2021).

About Katrina Rayne Mullen Pa-c NPPES

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

KATRINA RAYNE MULLEN PA-C (NPI 1912580168) is an individual physician assistant in Bradenton, Florida, licensed in Florida (PA9114242) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Sun City Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1912580168
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKATRINA RAYNE MULLENCredential: PA-C
Location Address5215 E STATE ROAD 64Bradenton, FL 34208-5533
Mailing Address5215 E State Road 64Bradenton, FL 34208-5533 · (941) 907-3400
Phone(971) 907-3400
Fax(941) 907-4202
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 4, 2021
Last NPPES UpdateFebruary 26, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2025
✔ NPI 1912580168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA9114242
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
5215 E STATE ROAD 64, Bradenton, FL 34208
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Other Names 1

Former Name (1)Katrina Rayne Lezcano Pa-c

Secondary Practice Location 1

Location 14051 Upper Creek Dr Ste 108Sun City Center, FL 33573-6825 · Phone (941) 907-3400 · Fax (941) 907-4202

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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

Katrina Rayne Mullen Pa-c 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 ID6608285937
PECOS Enrollment IDI20210517001846
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 34208 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
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
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 4

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

ANDREA LOFAY MSN, APRN, NP-C
Nurse Practitioner
5215 E STATE ROAD 64
BRADENTON, FL 34208
Manatee County (941) 907-3400
FLORIDA VEIN CENTER, INC
Phlebology
5215 E STATE ROAD 64
BRADENTON, FL 34208
Manatee County (941) 907-3400
FEDERICO M RICHTER MD
Phlebology
5215 E STATE ROAD 64
BRADENTON, FL 34208
Manatee County (941) 907-3400
HALEY HALL PA
Physician Assistant
5215 E STATE ROAD 64
BRADENTON, FL 34208
Manatee County (941) 907-3400

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 Katrina Mullen's NPI number?

The NPI number for Katrina Mullen is 1912580168. It was assigned to this individual provider in the NPPES registry on May 4, 2021. The provider is also known as Katrina Rayne Lezcano Pa-C.

Where is Katrina Mullen located?

Katrina Mullen practices at 5215 E State Road 64, Bradenton, FL 34208. The listed phone number is (971) 907-3400.

What is Katrina Mullen's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Katrina Mullen enrolled in Medicare?

Yes. Katrina Mullen 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.

What insurance does Katrina Mullen accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Katrina Mullen 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.

When was this NPI record last updated?

The NPPES record for Katrina Mullen was last updated on February 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.