Individual provider Active NPI

Edwin G Mungai, CRNP

  • Nurse Practitioner
  • Mechanicsburg, PA
National Provider Identifier
1346891082
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP020790 Issued in PA
Practice address
4713 E Trindle Rd
Mechanicsburg, PA 17050-3616
Phone
(717) 737-8686
NPI assigned
Sep 24, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP020790 PA Primary

Addresses

Primary practice location

4713 E Trindle Rd
Mechanicsburg, PA 17050-3616

Mailing address

4713 E Trindle Rd
Mechanicsburg, PA 17050-3616
Phone (717) 737-8686

Other practice location 1

7755 Center Ave Ste 630
Huntington Beach, CA 92647-9152
Phone (657) 237-2450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20200226000799 PA Practitioner - Nurse Practitioner 8921435280 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP020790PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CV Heart & Vascular PC CurrentSince Oct 1, 2025 Accepting new patients
PMR Consulting Solutions CurrentSince Oct 1, 2024 Accepting new patients

Locations

20 S 36th St
Ste 101
Camp Hill, PA 17011
Phone (717) 884-6369

43 Eastgate Dr
Ste 300
Carlisle, PA 17015
Phone (223) 225-1120

600 Eagleview Blvd
Exton, PA 19341
Phone (484) 639-9766

Interoperability endpoints

  • Direct secure messaging: emungai@landmarkhealth-direct.org

Organizations & group practices 2

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": "1569283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1346891082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4713 E TRINDLE RD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170503616",
            "telephone_number": "717-737-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4713 E TRINDLE RD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170503616",
            "telephone_number": "717-737-8686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7755 Center Ave Ste 630",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "926479152",
            "country_code": "US",
            "telephone_number": "657-237-2450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUNGAI",
        "first_name": "EDWIN",
        "middle_name": "G",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-24",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP020790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

Verify at the official NPI Registry.