Carlos Mario Mujica, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11016795 Issued in FL

Practice address

13302 Winding Oak CT Ste a
Tampa, FL 33612-3425

Phone

(813) 930-8424

NPI assigned

Dec 10, 2021

Last updated

Dec 10, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 FL

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bhmat Consulting LLCGroup PAC ID 9335590439, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19420/brand/1/csg/1/fhir/r4

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.

• Affinity Health & Wellness LLC

  • Clinic/Center
  • Tampa, FL
  • NPI 1114602448

  Single Specialty

  Medicare reassignment NPD Authorized official
• Bhmat Consulting LLC

  dba BHMAT Consulting

  • Internal Medicine Physician
  • Catonsville, MD
  • NPI 1659094753

  FL, Single Specialty

  Medicare reassignment Care Compare group NPD
• Phoenix Medical Centers Corp

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1598226797

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1639094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639094400000",
    "number": "1265191803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6747 RALSTON BEACH CIR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336144207",
            "telephone_number": "813-580-2268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13302 WINDING OAK CT STE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336123425",
            "telephone_number": "813-930-8424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUJICA",
        "first_name": "CARLOS",
        "middle_name": "MARIO",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-10",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11016795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tahani Yazminah Muhammad
• Alaina Mui, MD
• Amy Mui, MPH, RDN
• Vanessa Elizabeth Muir, LMHC
• Samantha Muirhead
• Madison Nicole Mulcahy, PA-C
• Bethany Kathleen Muldowney, PT
• Colleen M Muldowney, MS, OTR/L
• Bridget Mulhall, SW
• John Mulhern

• Family Nurse Practitioner in Tampa, FL
• Providers in Tampa, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; 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.