Mullissa Childress, APRN
NPI 1104827492 · Primary Care Nurse Practitioner · Las Vegas, NV
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mullissa Childress, APRN is a Primary Care Nurse Practitioner provider in Las Vegas, NV (NPI 1104827492).
Provider details
- NPI number
- 1104827492
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- License
- F0714788 (OH)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-08-09
- Last updated
- 2024-08-21
- Certified
- 2024-08-21
Frequently asked questions
- What is Mullissa Childress's NPI number?
- Mullissa Childress's National Provider Identifier (NPI) is 1104827492, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mullissa Childress's specialty?
- Mullissa Childress is listed in the NPPES registry with a primary specialty of Primary Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mullissa Childress located?
- Mullissa Childress's practice location on file with NPPES is 222 S Rainbow Blvd Ste 115, Las Vegas, NV 89145-5343.
- What is Mullissa Childress's phone number?
- The practice phone number listed in the NPPES registry for Mullissa Childress is (702) 406-4125.
- Does Mullissa Childress accept Medicare?
- Mullissa Childress is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mullissa Childress's NPI active?
- Yes — Mullissa Childress's NPI (1104827492) is active in the NPPES registry as of the last update on 2024-08-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.