Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Katherine Lynn Mauldin, PA

Individual provider Physician Assistant · NPI 1407474695

Katherine Lynn Mauldin, PA is a Physician Assistant in Carson City, Nevada. Qualified in 2021, 5 years ago. Practices with Michael H Song MD Ltd, a 13-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
5
Licensed in
NV
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

973 Mica Dr Ste 200
Carson City, NV 89705-7258
Phone: (775) 445-7225
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5578 Longley Ln, Reno, NV 89511-1825 — (775) 284-8650

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Physician Assistant Taxonomy 363A00000X · Licence PA0528 (NV)

Record details

NPI number1407474695
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedJuly 14, 2020
Last updated in NPPESJune 17, 2025
Certification dateJune 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Michael H Song Md Ltd — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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