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

Marie Katherine Mulcock, PA-S

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1558897413

Marie Katherine Mulcock, PA-S is a Physician Assistant in Fullerton, California. Qualified in 2017, 9 years ago. Practices with University of Utah Adult Services, a 1,740-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
9
Licensed in
UT
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Fullerton, CA
Fax: (714) 680-8233

No coordinates on file. Search this address in Google Maps

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 10618366-1206 (UT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1558897413
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-S
Sole proprietorNo
NPI enumeratedMay 11, 2017
Last updated in NPPESNovember 8, 2021
Certification dateNovember 8, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice University Of Utah Adult Services — 1740 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Fullerton