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

Mr. Patrick James Mullen, MD

Individual provider Plastic and Reconstructive Surgery Physician · NPI 1629069885

Mr. Patrick James Mullen, MD is a Hand Surgery in Coeur D Alene, Idaho. Graduated from Michigan State University College of Human Medicine in 1995, 31 years ago. Practices with Kootenai Health Inc, a 394-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
31
Trained at
Michigan State University College of Human Medicine
Licensed in
ID
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2121 W Ironwood Center Dr
Coeur D Alene, ID 83814-2639
Phone: (208) 625-4680
Fax: (208) 625-4681
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Hand Surgery Physician (primary) Taxonomy 207XS0106X · Licence M-8506 (ID)
Plastic and Reconstructive Surgery Physician Taxonomy 2086S0122X · Licence M8506 (ID)

Record details

NPI number1629069885
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 4, 2005
Last updated in NPPESApril 14, 2025
Certification dateApril 14, 2025
Mailing address2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051

Medicare enrollment

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

Medicare specialtyHAND SURGERY
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated 1995 (31 years in practice)
Group practice Kootenai Health Inc — 394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare