Individual provider Active NPI

Sikira Mukaila

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Wayne, IN
National Provider Identifier
1386375814
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
71016208A Issued in IN
Practice address
201 E Rudisill Blvd Ste 106
Fort Wayne, IN 46806-1756
Phone
(888) 470-0082
Fax
(260) 387-7181
NPI assigned
Jun 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11028297 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0034712 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R216351 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 71016208A IN Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024184392 VA

Addresses

Primary practice location

201 E Rudisill Blvd Ste 106
Fort Wayne, IN 46806-1756

Mailing address

2621 E Jefferson St
Warsaw, IN 46580-3880
Phone (574) 267-7169

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231227001429 VA Practitioner - Nurse Practitioner 7012367469 Reassigns benefits to 1 organization
I20250210003034 IN Practitioner - Nurse Practitioner 7012367469 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brightside Health IncGroup PAC ID 9234525098, 213 clinicians

Practice addresses (Care Compare)

17 N 5TH Ave
Suite 1021
Beech Grove, IN 46107-1325
Phone (415) 360-3348

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11028297FLMDPsychiatric/Mental Health Nurse Practitioner
R216351MDMDPsychiatric/Mental Health Nurse Practitioner
APRN.CNP.0034712OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brightside Health, Inc. CurrentSince Sep 1, 2025 Accepting new patients
Bowen Health Inc Current Accepting new patients
Hospital Care Group, P.C. CurrentSince Feb 1, 2025 Accepting new patients
Wellness & Balance LLC Psychiatric/Mental Health CurrentSince Jul 20, 2024 Accepting new patients
Rock Landing Psychological Group PLC Psychiatric/Mental Health CurrentSince Jun 26, 2022 Accepting new patients
Neighborhood Health Clinics, Inc CurrentSince Sep 1, 2025 Accepting new patients
Bowen Health Inc CurrentSince Oct 20, 2025 Accepting new patients
Rhodium Care Group Inc CurrentSince Sep 6, 2024 Accepting new patients
Wholeme Psychiatric Care LLC Psychiatric/Mental Health CurrentSince Aug 10, 2025 Accepting new patients
Neighborhood Health Clinics, Inc CurrentSince Sep 1, 2025 Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

17 N 5th Ave
#1021
Beech Grove, IN 46107

6211 Stoney Creek Dr
Fort Wayne, IN 46825
Phone (833) 412-0910

201 E Rudisill Blvd
Ste 106
Fort Wayne, IN 46806
Phone (260) 471-0082

3955 W Washington Center Rd
Fort Wayne, IN 46818
Phone (260) 800-3601

2520 E DuPont Rd
Fort Wayne, IN 46825
Phone (219) 407-8000

1717 S Calhoun St
Fort Wayne, IN 46802
Phone (260) 458-2641

6435 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 436-7875

850 N Harrison St
Warsaw, IN 46580
Phone (219) 267-7169

2621 E Jefferson St
Warsaw, IN 46580
Phone (574) 269-0573

8830 Virginia St
Amelia Ct Hse, VA 23002
Phone (804) 561-5611

3101 American Legion Rd
Ste 12
Chesapeake, VA 23321
Phone (757) 469-1452

11825 Rock Landing Dr
Newport News, VA 23606
Phone (757) 873-1736

Organizations & group practices 10

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": "1656028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1386375814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 E JEFFERSON ST",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465803880",
            "telephone_number": "574-267-7169",
            "fax_number": "574-269-4189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E RUDISILL BLVD STE 106",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468061756",
            "telephone_number": "888-470-0082",
            "fax_number": "260-387-7181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUKAILA",
        "first_name": "SIKIRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-24",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11028297",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0034712",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R216351",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71016208A",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024184392",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.