Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Katrina Rayne Mullen, PA-C

Individual provider Physician Assistant · NPI 1912580168

Katrina Rayne Mullen, PA-C is a Physician Assistant in Bradenton, Florida. Qualified in 2020, 6 years ago. Practices with Florida Vein Center, Inc, a 4-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
6
Licensed in
FL
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5215 E State Road 64
Bradenton, FL 34208-5533
Phone: (971) 907-3400
Fax: (941) 907-4202
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4051 Upper Creek Dr Ste 108, Sun City Center, FL 33573-6825 — (941) 907-3400

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9114242 (FL)

Record details

NPI number1912580168
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 4, 2021
Last updated in NPPESFebruary 26, 2025
Certification dateFebruary 26, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Florida Vein Center, Inc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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