Active NPI
Helen Mutoko
- Family Nurse Practitioner
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP022989
- Practice address
- 4417 N 6TH St
Philadelphia, PA 19140-2319 - Phone
- (215) 302-3600
- NPI assigned
- Nov 8, 2020
- Last updated
- Jan 3, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP022989 | PA | Primary |
| Family Health Clinical Nurse Specialist | 364SF0001X | SP022989 | PA | |
| Emergency Registered Nurse | 163WE0003X | RN1042185 | PA |
Addresses
Primary practice location
4417 N 6TH St
Philadelphia, PA 19140-2319
Mailing address
2032 Arch St Apt I
Philadelphia, PA 19103-1442
Phone (408) 476-3145
Other practice location 1
4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone (302) 733-1000
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
- Univ of Pennsylvania School of Dental Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4417 N 6TH St
Philadelphia, PA 19140-2319
Phone (215) 302-3600
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN1042185 | PA | MD | Emergency Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Esperanza Health Center, Inc. | Current | Accepting new patients | |
| Esperanza Health Center, Inc. | Past | Accepting new patients |
Locations
4417 N 6th St
Philadelphia, PA 19140
Phone (215) 302-3150
861 E Allegheny Ave
Philadelphia, PA 19134
Phone (215) 302-3600
Interoperability endpoints
- helen.mutoko@49428401684484.direct.elationemr.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1255726659
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1306933346
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1366653818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735862400000",
"number": "1073114740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2032 ARCH ST APT I",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191031442",
"telephone_number": "408-476-3145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4417 N 6TH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191402319",
"telephone_number": "215-302-3600"
}
],
"practiceLocations": [
{
"address_1": "4755 Ogletown Stanton Rd",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "DE",
"postal_code": "197182200",
"country_code": "US",
"telephone_number": "302-733-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUTOKO",
"first_name": "HELEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-08",
"last_updated": "2025-01-03",
"certification_date": "2025-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP022989",
"primary": true
},
{
"code": "364SF0001X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Family Health",
"state": "PA",
"license": "SP022989",
"primary": false
},
{
"code": "163WE0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Emergency",
"state": "PA",
"license": "RN1042185",
"primary": false
}
],
"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 Jan 3, 2025; 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.