Active NPI
Faith Mutale, CRNP
- Nurse Practitioner
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- SP008515
- Practice address
- 3400 Spruce St
15 Penn Tower
Philadelphia, PA 19104-4206 - Phone
- (215) 662-3914
- NPI assigned
- Jan 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | SP008515 | PA | Primary |
Addresses
Primary practice location
3400 Spruce St
15 Penn Tower
Philadelphia, PA 19104-4206
Mailing address
3400 Spruce St
15 Penn Tower
Philadelphia, PA 19104-4206
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3400 Civic Ctr Blvd
Philadelphia, PA 19104-5127
Hospital & facility affiliations
- Hospital of Univ of Pennsylvania
- Penn Presbyterian Medical Center
- Chester County Hospital
- Pennsylvania Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.91 of 100
- Quality
- 73.58
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.13
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP008515 | PA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Penn-Medical Group | Current | Accepting new patients | |
| University of Penn-Medical Group | Current | Accepting new patients | |
| University of Penn - Medical Group | Past | Accepting new patients |
Locations
3400 Civic Center Blvd
#2
Philadelphia, PA 19104
Phone (215) 615-0063
3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669
3400 Spruce St
#15
Philadelphia, PA 19104
Phone (215) 573-2784
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Hematology & Oncology Physician
- Philadelphia, PA
- NPI 1679677975
-
- Surgical Oncology Physician
- Philadelphia, PA
- NPI 1871981985
-
- Cardiovascular Disease Physician
- Philadelphia, PA
- NPI 1093725145
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Chester, PA
- NPI 1356333579
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1245207521
-
- General Acute Care Hospital
- Phila, PA
- NPI 1063489342
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1851370910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300147200000",
"number": "1003964586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 SPRUCE ST",
"address_2": "15 PENN TOWER",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191044206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 SPRUCE ST",
"address_2": "15 PENN TOWER",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191044206",
"telephone_number": "215-662-3914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUTALE",
"first_name": "FAITH",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2011-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "SP008515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.