Samuel Mihari Mburu

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R36969 Issued in ND

Practice address

164 W 13TH St
Grafton, ND 58237-1826

Phone

(701) 352-1620

Fax

(701) 352-9392

NPI assigned

Aug 8, 2023

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

Enrolled in ND

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 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Christian Unity Hospital Corporation 25 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Unity Medical Center Hospital, Grafton, ND, CCN 351320
• Altru Hospital Hospital, Grand Forks, ND, CCN 350019

Merit-based Incentive Payment System (MIPS)

Final score

93.78 of 100Reported as apm

Quality

80.38

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Christian Unity Hospital Corporation

  • Critical Access Hospital
  • Grafton, ND
  • NPI 1245216852

  Family Medicine, ND

  Medicare reassignment Care Compare group NPD
• Christian Unity Hospital Corporation

  • Rural Health Clinic/Center
  • Grafton, ND
  • NPI 1558423665

  ND

  Medicare reassignment Care Compare group NPD
• Christian Unity Hospital Corporation

  • Rural Health Clinic/Center
  • Park River, ND
  • NPI 1821637828
  Care Compare group NPD
• Christian Unity Hospital Corporation

  • Critical Access Hospital
  • Grafton, ND
  • NPI 1073698262
  Care Compare group NPD (past)

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

• Altru Health System

  • General Acute Care Hospital
  • Grand Forks, ND
  • NPI 1154346161

  Hospital

  Care Compare affiliation
• Christian Unity Hospital Corporation

  • Critical Access Hospital
  • Grafton, ND
  • NPI 1245216852

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1497438378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 W 13TH ST",
            "city": "GRAFTON",
            "state": "ND",
            "postal_code": "582371826",
            "telephone_number": "701-352-1620",
            "fax_number": "701-352-9392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 W 13TH ST",
            "city": "GRAFTON",
            "state": "ND",
            "postal_code": "582371826",
            "telephone_number": "701-352-1620",
            "fax_number": "701-352-9392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBURU",
        "first_name": "SAMUEL",
        "middle_name": "MIHARI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-08",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R36969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lutheran Sunset Home Corporation
• Kimball Anthony Lutovsky, R.PH
• Heidi Jo Madsen, PSY.D.
• Ashley Mathiason, OT
• Jaime Rae Mattson, FNP-C
• Julie McCann, OT
• Erin McSparron, OT
• Jackie Midgarden, SLP
• Jenna Anne Midgarden, PHARM.D.
• Ashleigh Rose Miller, D.C.

• All providers in Grafton, ND
• Family Nurse Practitioner in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.

Verify at the official NPI Registry.