Edna Rothman Mullally, DNP, FNP-C - Medicare Nurse Practitioner in Kitty Hawk, NC

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Edna Rothman Mullally, DNP, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Kitty Hawk, North Carolina. Her current practice location is 5200 N Croatan Hwy, Kitty Hawk, North Carolina. You can reach out to her office (for appointments etc.) via phone at (252) 261-4187.

Edna Rothman Mullally is licensed to practice in North Carolina (license number 5017152) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1629687553.

Contact Information

Edna Rothman Mullally, DNP, FNP-C
5200 N Croatan Hwy,
Kitty Hawk, NC 27949-3990
(252) 261-4187
(833) 989-2346

Map and Direction




Provider's Profile

Full NameEdna Rothman Mullally
GenderFemale
SpecialityNurse Practitioner - Family
Location5200 N Croatan Hwy, Kitty Hawk, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1629687553
  • Provider Enumeration Date: 07/27/2020
  • Last Update Date: 03/22/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0143691675
  • Enrollment ID: I20230120000971

Medical Identifiers

Medical identifiers for Edna Rothman Mullally such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629687553NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 5017152 (North Carolina)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Edna Rothman Mullally allows following entities to bill medicare on her behalf.
Entity NameOuter Banks Professional Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891050357
PECOS PAC ID: 3173652096
Enrollment ID: O20100602000156

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Edna Rothman Mullally is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Edna Rothman Mullally, DNP, FNP-C
Po Box 2287,
Kitty Hawk, NC 27949-2287

Ph: (252) 261-4187		Edna Rothman Mullally, DNP, FNP-C
5200 N Croatan Hwy,
Kitty Hawk, NC 27949-3990

Ph: (252) 261-4187

Reviews and Comments


Nurse Practitioner Nurses in Kitty Hawk, NC

Mrs. Tami Jo Bruggeman, MSN, APRN, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 5107 N Croatan Hwy, Kitty Hawk, NC 27949
Phone: 252-255-5321    
Leah H Woolridge, APRN, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5200 N Croatan Hwy Ste 6, Kitty Hawk, NC 27949
Phone: 252-261-4187    Fax: 833-989-2346
Mrs. Kathryn D Dewey, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 5565 N Croatan Hwy, Kitty Hawk, NC 27949
Phone: 252-449-7474    Fax: 252-449-7475
Anne Maria Smith, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5112 N Croatan Hwy, Kitty Hawk, NC 27949
Phone: 252-449-7474    Fax: 252-449-7475
Tarra O Midgette, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 101 Woodhill Ct, Kitty Hawk, NC 27949
Phone: 252-202-4806    
Katelyn Nicole Angelo, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 5107 N Croatan Hwy, Kitty Hawk, NC 27949
Phone: 252-255-5321    
Jennifer D Krejcarek,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 5116 N Croatan Hwy, Kitty Hawk, NC 27949
Phone: 252-335-2293    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.