Individual provider Active NPI

Reuel Kagamba Muiruri, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Grafton, WI
National Provider Identifier
1225510001
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
8635-33 Issued in WI
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

Updated by the provider on Jan 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
Rehema Mental Wellness LLCGroup PAC ID 3274075353, 2 clinicians

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

OrganizationSpecialtyStatusNew patients
Landmark Medical of Tennessee PC CurrentSince Jul 31, 2023 Accepting new patients
Landmark Medical of Tennessee PC CurrentSince Jul 31, 2023 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.