Active NPI
Reuel Kagamba Muiruri, NP
- Psychiatric/Mental Health Nurse Practitioner
- Grafton, WI
National Provider Identifier
1225510001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 8635-33
- Practice address
- 1225 12TH Ave
Grafton, WI 53024-1923 - Phone
- (833) 711-1970
- NPI assigned
- Aug 29, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 8635-33 | WI | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 8635-33 | WI | Primary |
Addresses
Primary practice location
1225 12TH Ave
Grafton, WI 53024-1923
Mailing address
1225 12TH Ave
Grafton, WI 53024-1923
Phone (833) 711-1970
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180920000003 | WI | Practitioner - Nurse Practitioner | 5597016253 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1225 12TH Ave
Grafton, WI 53024-1923
Phone (833) 711-1970
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Landmark Medical of Tennessee PC | Current | Accepting new patients | |
| Landmark Medical of Tennessee PC | Current | Accepting new patients |
Locations
7755 Center Ave
Ste 630
Huntington Beach, CA 92647
Phone (877) 240-3112
125 S 84th St
Milwaukee, WI 53214
Phone (920) 492-8293
Interoperability endpoints
- ms_rmuiruri@landmarkhealth-direct.org
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Grafton, WI
- NPI 1750145009
WI
-
- General Practice Physician
- Westbrook, ME
- NPI 1982310439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769558400000",
"number": "1225510001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1225 12TH AVE",
"city": "GRAFTON",
"state": "WI",
"postal_code": "530241923",
"telephone_number": "833-711-1970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 12TH AVE",
"city": "GRAFTON",
"state": "WI",
"postal_code": "530241923",
"telephone_number": "833-711-1970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUIRURI",
"first_name": "REUEL",
"middle_name": "KAGAMBA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-29",
"last_updated": "2026-01-28",
"certification_date": "2026-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "8635-33",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WI",
"license": "8635-33",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grafton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; 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.