Musa Mawanda, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4016790 Issued in KY

Practice address

404 Steve Drive
Russell Springs, KY 42642-4622

Phone

(270) 866-3161

Fax

(270) 866-3163

NPI assigned

Apr 28, 2022

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 KY

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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cumberland Family Medical Center IncGroup PAC ID 6305947789, 125 clinicians

PT Pros, IncGroup PAC ID 0143139337, shared by 14 NPIs, 263 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• TJ Health Columbia Hospital, Columbia, KY, CCN 180149
• Monroe County Medical Center Hospital, Tompkinsville, KY, CCN 180105
• Taylor Regional Hospital Hospital, Campbellsville, KY, CCN 180087

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations (25 of 124)

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.

• Cumberland Family Medical Center Inc

  • Federally Qualified Health Center (FQHC)
  • Burkesville, KY
  • NPI 1306873500
  Medicare reassignment Care Compare group NPD
• Cumberland Family Medical Center Inc

  • Federally Qualified Health Center (FQHC)
  • Edmonton, KY
  • NPI 1548953672
  NPD
• Cumberland Family Medical Center Inc

  • Federally Qualified Health Center (FQHC)
  • Danville, KY
  • NPI 1215918917
  NPD (past)
• Cumberland Family Medical Center Inc

  • Federally Qualified Health Center (FQHC)
  • Russell Springs, KY
  • NPI 1437483815
  NPD (past)

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

• Monroe Medical Foundation, Inc.

  • General Acute Care Hospital
  • Tompkinsville, KY
  • NPI 1053499350
  Care Compare affiliation
• T J Health Columbia Inc

  • General Acute Care Hospital
  • Columbia, KY
  • NPI 1134585656
  Care Compare affiliation
• Taylor County Hospital District Health Facilities Corporation

  • General Acute Care Hospital
  • Campbellsville, KY
  • NPI 1689761942
  Care Compare affiliation

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

{
    "created_epoch": "1651104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1073258752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1080",
            "city": "BURKESVILLE",
            "state": "KY",
            "postal_code": "427171080",
            "telephone_number": "270-864-1472",
            "fax_number": "270-864-1693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 STEVE DRIVE",
            "city": "RUSSELL SPRINGS",
            "state": "KY",
            "postal_code": "426424622",
            "telephone_number": "270-866-3161",
            "fax_number": "270-866-3163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAWANDA",
        "first_name": "MUSA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-28",
        "last_updated": "2024-11-08",
        "certification_date": "2024-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4016790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandria F Lawson, LCSW
• Barry Lawson, RPH
• Terri Susanne Lee, OD
• Lily Creek Medical Group, PSC
• Robin Livers, LPCC; CADC
• Amanda McDonald, APRN, NP-C
• Brandi Lynee Meece, APRN
• David Wayne Meggitt, M.A., LPCA
• Joshua David Melson, PHARMD, MBA
• Meyers Chiropractic Center PSC

• Family Nurse Practitioner in Russell Springs, KY
• Providers in Russell Springs, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; 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.