Sean M Mulubisha

Primary specialty

Radiology Practitioner AssistantTaxonomy code 243U00000X

Practice address

2529 132ND LN NW
Coon Rapids, MN 55448-1205

Phone

(763) 340-2330

NPI assigned

Nov 3, 2025

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Eclipse Health Services

  • Adult Health Nurse Practitioner
  • Coon Rapids, MN
  • NPI 1295454874
  NPD

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

{
    "created_epoch": "1762128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1386513729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2529 132ND LN NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554481205",
            "telephone_number": "763-340-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2529 132ND LN NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554481205",
            "telephone_number": "763-340-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULUBISHA",
        "first_name": "SEAN",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-11-03",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "243U00000X",
            "taxonomy_group": "",
            "desc": "Radiology Practitioner Assistant",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jack James Mueller
• Nicholas Paul Mueller, PAC
• Tierney Mueller
• Erika Muellner, CNP
• Jerold Lee Mullins, CRNA
• Zillah Mulubisha
• Muna Mohamed Mumin
• Kristina K Munyer, CRNA
• Tomas Marek Murdych, MD
• Thomas Leslie Murphy, M.D.

• Radiology Practitioner Assistant in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• Radiology Practitioner Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.