Active NPI
Edwin G Mungai, CRNP
- Nurse Practitioner
- Mechanicsburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- SP020790
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP020790 | PA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CV Heart & Vascular PC | Current | Accepting new patients | |
| PMR Consulting Solutions | Current | 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
- 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.
-
- Interventional Cardiology Physician
- Camp Hill, PA
- NPI 1811703341
-
- Internal Medicine Physician
- Camp Hill, PA
- NPI 1447092283
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.