Active NPI
Wayland J Mutter, RN
- Nurse Practitioner
- Quincy, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209017279
- Practice address
- 1005 Broadway St
Quincy, IL 62301-2834 - Phone
- (217) 223-1200
- Fax
- (217) 277-8988
- NPI assigned
- Sep 29, 2017
- Last updated
- Oct 27, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 041326848 | IL | |
| Acute Care Nurse Practitioner | 363LA2100X | 209017279 | IL | |
| Nurse Practitioner | 363L00000X | 209017279 | IL | Primary |
Addresses
Primary practice location
1005 Broadway St
Quincy, IL 62301-2834
Mailing address
1025 Maine St
Quincy, IL 62301-4038
Phone (217) 222-6550
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | wmutter31751@blessing.medalliesdirect.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1005 Broadway St
Quincy, IL 62301-2834
Phone (217) 223-8400
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041326848 | IL | MD | Critical Care Medicine Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blessing Hospital | Current | Accepting new patients | |
| Quincy Physicians & Surgeons Clinic, PLLC | Current | Accepting new patients | |
| St Luke's Methodist Hospital | Current | Accepting new patients | |
| Blessing Hospital | Current | Accepting new patients | |
| Quincy Physicians & Surgeons Clinic, PLLC | Current | Accepting new patients | |
| Quincy Physicians & Surgeons Clinic, PLLC | Nurse Practitioner | Current | Accepting new patients |
Locations
1005 Broadway St
Quincy, IL 62301
1025 Maine St
Quincy, IL 62301
Phone 21722265503163
Interoperability endpoints
- https://fhir.blessinghospital.com/R4/open-Prod
- wmutter610360@direct.unitypoint.org
Organizations & group practices 6
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.
-
- Clinic/Center
- Quincy, IL
- NPI 1548234198
-
dba Quincy Medical Group Barry Affiliate
- Rural Health Clinic/Center
- Barry, IL
- NPI 1013981547
-
- Durable Medical Equipment & Medical Supplies
- Pittsfield, IL
- NPI 1871794925
Nurse Practitioner
-
dba Blessing Health Monroe City
- Rural Health Clinic/Center
- Monroe City, MO
- NPI 1013683507
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Quincy, IL
- NPI 1760571699
-
dba McDonough District Hospital
- General Acute Care Hospital
- Macomb, IL
- NPI 1669420766
-
- Critical Access Hospital
- Carthage, IL
- NPI 1730139031
-
- Rural Acute Care Hospital
- Hannibal, MO
- NPI 1922042704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1793059200000",
"number": "1447769724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 MAINE ST",
"city": "QUINCY",
"state": "IL",
"postal_code": "623014038",
"telephone_number": "217-222-6550",
"fax_number": "217-277-2253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 BROADWAY ST",
"city": "QUINCY",
"state": "IL",
"postal_code": "623012834",
"telephone_number": "217-223-1200",
"fax_number": "217-277-8988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUTTER",
"first_name": "WAYLAND",
"middle_name": "J",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-29",
"last_updated": "2026-10-27",
"certification_date": "2026-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "IL",
"license": "041326848",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "IL",
"license": "209017279",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209017279",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "wmutter31751@blessing.medalliesdirect.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1005 Broadway St",
"city": "Quincy",
"state": "IL",
"country_code": "US",
"postal_code": "623012834",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Quincy, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.