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

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



Provider's Profile

Full NameNicole L Mullis
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location301 Northern Pacific Ave N, Fargo, North Dakota
Accepts Medicare AssignmentsYes. 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.
IdentifierTypeStateIssuer
1295257400NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family R30211 (North Dakota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Essentia HealthFargo, NDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Innovis Health Llc9931298155473

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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 NameFamily Health Care Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710066352
PECOS PAC ID: 1658283650
Enrollment ID: O20031217000272

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Entity NameInnovis Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215125463
PECOS PAC ID: 9931298155
Enrollment ID: O20071211000158

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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 AddressPractice 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

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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
Sadie Marie Nelson, APRN, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: Sanford Broadway Clinic, 801 North Broadway, Fargo, ND 58102
Phone: 701-234-2000    
Jessica Smolen, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 321 8th Ave N, Fargo, ND 58102
Phone: 701-234-2525    
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: 4671 38th St S, Fargo, ND 58104
Phone: 701-404-5100    Fax: 701-499-1166

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