KELLI MULLEN OD
NPI 1982056198
Optometrist in New Albany, MS
About Kelli Mullen Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLI MULLEN OD (NPI 1982056198) is an individual optometrist in New Albany, Mississippi, licensed in Mississippi (939) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bruce, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Kelli Mullen Od 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.
Medicare Billing Reassignments
2Medicare enrollment records show Kelli Mullen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Corinth, MS 38834
- Reassigned Medicare billing, Mississippi enrollment
- 4 clinicians in this Medicare group
Bruce, MS 38915
- Reassigned Medicare billing, Mississippi enrollment
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 9
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 38652 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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 Kelli Mullen's NPI number?
The NPI number for Kelli Mullen is 1982056198. It was assigned to this individual provider in the NPPES registry on July 12, 2016.
Where is Kelli Mullen located?
Kelli Mullen practices at 303 J H Phillips Ln, New Albany, MS 38652. The listed phone number is (662) 539-7801.
What is Kelli Mullen's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Kelli Mullen enrolled in Medicare?
Yes. Kelli 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.
Which organizations bill Medicare for Kelli Mullen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelli Mullen reassigns Medicare benefits to 2 organizations: Corinth Eye Clinic, Inc (Corinth, MS) and Off The Square Eyecare, PLLC (Bruce, MS). 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 Kelli Mullen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelli Mullen accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 13 other insurers list Kelli 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 Kelli Mullen was last updated on December 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Kelli Mullen, OD · NPI 1982056198
Optometrist provider in New Albany, Mississippi. Individual provider, active in the CMS NPPES registry since July 12, 2016.
## Identity
- **NPI:** 1982056198 (Entity type: Individual)
- **Enumerated:** July 12, 2016
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 939 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 303 J H PHILLIPS LN, New Albany, MS 38652-7012
- **Phone:** (662) 539-7801 · **Fax:** (662) 539-7881
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Corinth Eye Clinic, Inc (NPI 1053506683, Corinth, MS); Off The Square Eyecare, PLLC (NPI 1639031545, Bruce, MS) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** December 1, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1982056198) · Data from the CMS NPPES public registry.