Nicole L Mullis, FNP-C in Fargo, ND - Medicare Nurse Practitioner

Nicole L Mullis, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Fargo, North Dakota. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Innovis Health Llc and her current practice location is 301 Northern Pacific Ave N, Fargo, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 271-3344.

Nicole L Mullis is licensed to practice in North Dakota (license number R30211) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1295257400.

Contact Information

	Nicole L Mullis, FNP-C
	301 Northern Pacific Ave N, Fargo, ND 58102-4835
	(701) 271-3344
	Not Available

Map and Direction

Provider's Profile

Full Name	Nicole L Mullis
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	301 Northern Pacific Ave N, Fargo, North Dakota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Nicole L Mullis graduated from nursing school in 2017

NPI Data:

NPI Number: 1295257400
Provider Enumeration Date: 07/10/2017
Last Update Date: 03/11/2021

Medicare PECOS Information:

PECOS PAC ID: 8527331230
Enrollment ID: I20170831001128

Medical Identifiers

Medical identifiers for Nicole L Mullis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295257400	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R30211 (North Dakota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Essentia Health	Fargo, ND	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Innovis Health Llc	9931298155	478

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. Nicole L Mullis allows following entities to bill medicare on her behalf.

Entity Name	Family Health Care Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710066352 PECOS PAC ID: 1658283650 Enrollment ID: O20031217000272

Entity Name	Innovis Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215125463 PECOS PAC ID: 9931298155 Enrollment ID: O20071211000158

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. Nicole L Mullis 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 Address	Practice Location Address
Nicole L Mullis, FNP-C 1450 10th St S, Fargo, ND 58103-4121 Ph: (701) 318-2135	Nicole L Mullis, FNP-C 301 Northern Pacific Ave N, Fargo, ND 58102-4835 Ph: (701) 271-3344

Reviews and Comments

Nurse Practitioner Nurses in Fargo, ND

Wendy M Moore, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 901 28th St S, Fargo, ND 58103 Phone: 701-404-1100 Fax: 701-540-6498
Mrs. Kayla L. Nelson, DNP, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 Np Ave N, Fargo, ND 58102 Phone: 701-271-3344
Kyrie Marie Severson, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4622 40th Ave S, Suite A, Fargo, ND 58104 Phone: 701-364-2909 Fax: 701-364-9822
Jessica Smolen, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 321 8th Ave N, Fargo, ND 58102 Phone: 701-234-2525
Mary Omer Habib, APRN, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4622 40th Ave S Ste A, Fargo, ND 58104 Phone: 218-364-8900
Mr. Nicholas Henry Frederiksen, APRN,CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8000 Fax: 701-364-8078
Erin Marie Wilmes Reiniger, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4622 40th Ave S, Fargo, ND 58104 Phone: 701-364-8000 Fax: 701-364-3561

Nicole L Mullis, FNP-C - Medicare Nurse Practitioner in Fargo, ND