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Active NPI 1760192868 Individual Practitioner Female Practitioner

Stevie-Marie Ann Mullins , PA-C

Physician Assistant • Centerville, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Stevie-Marie Mullins, PA-C is a certified Physician Assistant practicing in Centerville, UT. With approximately 4 years of clinical experience since completing medical education in 2022, Stevie-Marie Mullins delivers high-quality medical care to the local community at 1222 W LEGACY CROSSING BLVD STE 200.

Stevie-Marie Mullins is affiliated with Integrated Dermatology Of Bountiful Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, destruction of skin growth, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1222 W Legacy Crossing Blvd Ste 200

Centerville, UT 840145560

Telephone 8012983802
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Centerville, UT

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs Matches City Avg
City Avg: 4.0 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
1 Specialists

Practicing in Centerville, UT (1904 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
53.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mullins (4 Years) 4 Yrs
Centerville Specialty Average (4.0 Years) 4.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths
143 25 $8.92 $5.27
17000 Destruction of skin growth
29 27 $93.40 $33.59
99213 Established patient office or other outpatient visit, typically 15 minutes
27 27 $125.15 $73.30
17110 Destruction of up to 14 skin growths
24 22 $206.07 $86.63
11102 Tangential biopsy of single skin lesion
17 16 $133.11 $63.27

Medical Specialties & State Licenses

CMS Verified: 2026-03-23
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License UT 13155157-1206

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

Definition to come...

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

Definition to come...

Hospital & Practice Group Affiliations

Integrated Dermatology Of Bountiful Llc

1222 W Legacy Crossing Blvd, Centerville, UT 840145560

Phone: 8012983802

Secondary Practice Locations

3592 W 9000 S Ste 210

West Jordan, UT 840888819

Phone: 8012983802

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1043836679

Registered Nurse, Family Nurse Practitioner

NPI 1437503687

Doctor of Medicine (M.D.)

NPI 1841499084

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 23, 2026

Physician Assistant (License #13155157-1206 in UT)

📍
Updated Practice Location March 22, 2024

Registered at 1222 W LEGACY CROSSING BLVD STE 200, CENTERVILLE, UT 840145560 (Tel: 8012983802)

📍
Updated Business Mailing Address March 22, 2024

Registered at 1222 W LEGACY CROSSING BLVD STE 200, CENTERVILLE, UT 840145560 (Tel: 8012983802)

📍
Updated Practice Location July 14, 2023

Registered at 48 N 1100 E STE A, AMERICAN FORK, UT 840032910 (Tel: 8017565600)

📍
Updated Business Mailing Address July 14, 2023

Registered at 48 N 1100 E STE A, AMERICAN FORK, UT 840032910 (Tel: 8017565600)

👤
Provider Name / Credentials Updated July 14, 2023

Recorded as STEVIE-MARIE MULLINS, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2023

Physician Assistant

NPI Profile Active November 29, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location November 29, 2022

Registered at 1055 N 300 W STE 101, PROVO, UT 846043381 (Tel: 8018523460)

📍
Updated Business Mailing Address November 29, 2022

Registered at 2301 N 600 W, LEHI, UT 840432855 (Tel: 8508905470)

👤
Provider Name / Credentials Updated November 29, 2022

Recorded as STEVIE-MARIE MULLINS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 29, 2022

Physician Assistant

🟢
Initial NPI Registration & Enumeration November 29, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1760192868
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 29, 2022
Last Update: March 23, 2026
Sole Proprietor: No

Mailing Address

1222 W Legacy Crossing Blvd Ste 200

Centerville, UT 840145560

Phone: 8012983802

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.