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

Stevie-Marie Ann Mullins, PA-C

Individual provider Physician Assistant · NPI 1760192868

Stevie-Marie Ann Mullins, PA-C is a Physician Assistant in Centerville, Utah. Qualified in 2022, 4 years ago. Practices with Integrated Dermatology of Bountiful LLC, a 4-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
4
Licensed in
UT
In the registry since
2022
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1222 W Legacy Crossing Blvd Ste 200
Centerville, UT 84014-5560
Phone: (801) 298-3802
Show map & directions

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

Additional practice locations (1)

  • 3592 W 9000 S Ste 210, West Jordan, UT 84088-8819 — (801) 298-3802

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 13155157-1206 (UT)
Medical Physician Assistant Taxonomy 363AM0700X
Surgical Physician Assistant Taxonomy 363AS0400X

Record details

NPI number1760192868
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 29, 2022
Last updated in NPPESMarch 23, 2026
Certification dateMarch 23, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Integrated Dermatology Of Bountiful Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount