Individual provider Active NPI

Mousumi Pinki, CRNP

  • Nurse Practitioner
  • Morgantown, WV
National Provider Identifier
1427664143
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
107190 Issued in WV
Practice address
1 Medical Center Dr
Morgantown, WV 26506-1200
Phone
(855) 988-2273
NPI assigned
Sep 17, 2020
Last updated
Oct 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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 107190 WV Primary

Addresses

Primary practice location

1 Medical Center Dr
Morgantown, WV 26506-1200

Mailing address

353 Villa View Dr
Morgantown, WV 26505-2092
Phone (313) 231-5444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, MI2 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
I20210402000393 WV Practitioner - Nurse Practitioner 7416364773
I20240322000528 MI Practitioner - Nurse Practitioner 7416364773 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren Medical GroupGroup PAC ID 3971416082, 240 clinicians

Practice addresses (Care Compare)

2270 Jolly Oak Rd
Suite 1
Okemos, MI 48864-6932
Phone (517) 975-9475

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
107190WVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Medical Group CurrentSince Mar 1, 2024 Accepting new patients
McLaren Medical Group Nurse Practitioner CurrentSince Mar 1, 2024 Accepting new patients
McLaren Greater Lansing Nurse Practitioner CurrentSince Feb 20, 2024 Accepting new patients
McLaren Greater Lansing Family CurrentSince Feb 20, 2024 Accepting new patients
Allergy and Asthma Clinic of East Lansing, PLLC. CurrentSince Mar 1, 2026 Accepting new patients
Valley Comprehensive Community Mental Health Center Past Accepting new patients
McLaren Medical Group Past Accepting new patients

Locations

39373 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 286-4880

12805 Escanaba Dr
Ste 2
Dewitt, MI 48820
Phone (517) 367-5520

2045 Asher Ct
#200
East Lansing, MI 48823
Phone (517) 324-7020

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

6465 Millennium
Ste 100
Lansing, MI 48917
Phone (517) 975-3720

2104 Jolly Rd
Ste 240
Okemos, MI 48864
Phone (517) 975-3800

2270 Jolly Oak Rd
Ste 1
Okemos, MI 48864
Phone (517) 349-6140

108 W Higham St
Saint Johns, MI 48879
Phone (989) 224-0646

Interoperability endpoints

  • Direct secure messaging: mpinki45944@direct.wvuhsdirect.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1600300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1427664143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 VILLA VIEW DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265052092",
            "telephone_number": "313-231-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265061200",
            "telephone_number": "855-988-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINKI",
        "first_name": "MOUSUMI",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-17",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "107190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.