Alex Mutuku

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

072247-23 Issued in NH

Practice address

188 NH 101
Bedford, NH 03110-5451

Phone

(603) 314-4700

NPI assigned

Nov 2, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Appledore Medical Group IncGroup PAC ID 5698666154, 197 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Granite Vna, Inc Home health agency, Concord, NH, CCN 307000
• Catholic Medical Center Hospital, Manchester, NH, CCN 300034
• Elliot Hospital Hospital, Manchester, NH, CCN 300012
• Mary Hitchcock Memorial Hospital Hospital, Lebanon, NH, CCN 300003

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: alex.mutuku@hca6.eclinicaldirectplus.com

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.

• Appledore Medical Group, Inc

  • Internal Medicine Physician
  • Portsmouth, NH
  • NPI 1720077167
  Medicare reassignment Care Compare group NPD
• Catholic Medical Center

  • Internal Medicine Physician
  • Manchester, NH
  • NPI 1265487755
  Medicare reassignment NPD
• Catholic Medical Center

  • Family Medicine Physician
  • Bedford, NH
  • NPI 1972559904
  Medicare reassignment NPD
• Appledore Medical Group Dba Woodbury Family Practice

  dba Woodbury Family Practice

  • Family Medicine Physician
  • Newington, NH
  • NPI 1225232184
  NPD
• Catholic Medical Center

  dba Manchester Anesthesia Associates

  • Anesthesiology Physician
  • Manchester, NH
  • NPI 1003692112
  NPD
• Appledore Medical Group, Inc.

  dba dba North Hampton Family Practice

  • Family Medicine Physician
  • North Hampton, NH
  • NPI 1174512693
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Elliot Hospital of the City of Manchester

  • General Acute Care Hospital
  • Manchester, NH
  • NPI 1902996028
  Care Compare affiliation
• Granite Vna, Inc.

  • Home Health Agency
  • Concord, NH
  • NPI 1164425583
  Care Compare affiliation
• Manchester Health Services, LLC

  dba Catholic Medical Center

  • General Acute Care Hospital
  • Manchester, NH
  • NPI 1972340990
  Care Compare affiliation
• Mary Hitchcock Memorial Hospital

  • General Acute Care Hospital
  • Lebanon, NH
  • NPI 1023092053
  Care Compare affiliation
• Mary Hitchcock Memorial Hospital

  dba MHMH Regional Services

  • General Acute Care Hospital
  • Lebanon, NH
  • NPI 1629788237
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1073114674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 NH 101",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031105451",
            "telephone_number": "603-314-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 NH 101",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031105451",
            "telephone_number": "603-314-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTUKU",
        "first_name": "ALEX",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-02",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NH",
            "license": "072247-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Murali R. Ravel, D.M.D., P.C.
• Kristen Murley
• Lisbeth Murphy, MD
• Meredith Rita Murray, N.D.
• Ergen Muso, D.O.
• Ashley Carmody Mwongela, DPT
• Myles Milton Walker, Sr.
• Mytilini Enterprises (Bedford Pharmacy, Inc)
• Mytilini Enterprises, LLC
• Sonia Nagi, DMD

• Gerontology Nurse Practitioner in Bedford, NH
• Providers in Bedford, NH by specialty
• Gerontology Nurse Practitioner in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; 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.

Verify at the official NPI Registry.