Eunice Minoo Mutisya, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2019024712 Issued in MO

Practice address

9406 E 63Rd St
Raytown, MO 64133-4904

Phone

(816) 356-1000

NPI assigned

Jul 9, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Truman Medical Center IncorporatedGroup PAC ID 7315841418, 237 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University Health Lakewood Medical Center Hospital, Kansas City, MO, CCN 260102

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Truman Medical Center, Incorporated

  dba University Health

  • General Acute Care Hospital
  • Kansas City, MO
  • NPI 1144207937
  Medicare reassignment Care Compare group NPD
• Truman Medical Center, Incorporated

  dba University Health Multi-Specialty

  • Otolaryngology Physician
  • Kansas City, MO
  • NPI 1184893224
  NPD
• Truman Medical Center, Incorporated

  dba University Health Behavioral Health CCBHO Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kansas City, MO
  • NPI 1225773401
  NPD
• Truman Medical Centers, Inc.

  • Home Health Agency
  • Kansas City, MO
  • NPI 1487797759
  NPD (past)
• University Health Physicians

  • Internal Medicine Physician
  • Kansas City, MO
  • NPI 1669456257
  NPD (past)

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

• Truman Medical Center, Incorporated

  dba University Health Lakewood Medical Center

  • General Acute Care Hospital
  • Kansas City, MO
  • NPI 1376686600
  Care Compare affiliation

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606262400000",
    "number": "1275185407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9406 E 63RD ST",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641334904",
            "telephone_number": "816-356-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9406 E 63RD ST",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641334904",
            "telephone_number": "816-356-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTISYA",
        "first_name": "EUNICE",
        "middle_name": "MINOO",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-09",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2019024712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420074076",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morgan Manor
• Jennifer Len Morris, LMSW
• Linda M Murray, APRN
• Linda M Musgrave-Gassaway, LPC
• Frankline Tijieh Musongwe, PHARM D.
• James Thaithi Mwangi
• Farng Napper, DDS
• Diana Elizabeth Naumann, PT, BSPT
• NDH Medicare Risk Assessment LLC (Eastside Health & Wellness)
• Amber Dawn Neal, DPT

• Family Nurse Practitioner in Raytown, MO
• Providers in Raytown, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2020; 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.