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

Marissa L Mullins, APRN

Individual provider Family Nurse Practitioner · NPI 1649878919

Marissa L Mullins, APRN is a Nurse Practitioner in Maywood, Illinois. Qualified in 2020, 6 years ago. Practices with Loyola University Medical Center, a 946-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Wisconsin.

Years since qualifying
6
Licensed in
IL, WI
In the registry since
2020
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

2160 S 1st Ave
Maywood, IL 60153-3328
Phone: (708) 216-9000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • N17w24100 Riverwood Dr, Waukesha, WI 53188-1127 — (262) 928-2000

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209025192 (IL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 10371-33 (WI)

Record details

NPI number1649878919
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedOctober 9, 2020
Last updated in NPPESSeptember 1, 2022
Certification dateSeptember 1, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Loyola University Medical Center — 946 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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