Ivan A Mustafa, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

ARNP3098742 Issued in FL

Practice address

600 E Dixie Ave
Leesburg, FL 34748-5925

Phone

(352) 323-5762

NPI assigned

Feb 2, 2006

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 FL, MT, WY3 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 3

Specialty

Nurse Practitioner

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wheatland Memorial HealthcareGroup PAC ID 3375451370, 17 clinicians

Florida Emergency Physicians Kang and Associates MD LLCGroup PAC ID 0143113878, 318 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wheatland Memorial Hospital Hospital, Harlowton, MT, CCN 271321
• Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Florida Emergency Physicians Kang and Associates MD LLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Orlando, FL
  • NPI 1811983752

  FL

  Medicare reassignment Care Compare group NPD
• Wheatland Memorial Healthcare

  • Critical Access Hospital
  • Harlowton, MT
  • NPI 1073687406

  MT

  Medicare reassignment Care Compare group NPD
• Wheatland Memorial Healthcare

  • Rural Health Clinic/Center
  • Harlowton, MT
  • NPI 1235204538

  MT

  Medicare reassignment Care Compare group NPD
• McCone County Health Center Inc

  • Medical Physician Assistant
  • Circle, MT
  • NPI 1740464916

  MT

  Medicare reassignment NPD
• McCone County Health Center, Inc.

  • Critical Access Hospital
  • Circle, MT
  • NPI 1790803369

  MT

  Medicare reassignment NPD
• Phillips County Hospital Assn

  • Rural Health Clinic/Center
  • Malta, MT
  • NPI 1205038379

  MT

  Medicare reassignment NPD
• South Big Horn County Hospital District

  • Critical Access Hospital
  • Basin, WY
  • NPI 1013919794

  WY

  Medicare reassignment NPD
• South Big Horn County Hospital District

  • Rural Health Clinic/Center
  • Basin, WY
  • NPI 1811901515

  WY

  Medicare reassignment NPD
• Wheatland Memorial Healthcare

  • Medicare Defined Swing Bed Hospital Unit
  • Harlowton, MT
  • NPI 1265507172
  Care Compare group
• Guidewell Emergency Medicine Doctors, LLC

  • Radiology Clinic/Center
  • Winter Park, FL
  • NPI 1639973555
  NPD
• McCone County Health Center Inc

  • Rural Health Clinic/Center
  • Circle, MT
  • NPI 1881234185
  NPD
• South Big Horn County Hospital District

  • Medicare Defined Swing Bed Hospital Unit
  • Basin, WY
  • NPI 1134364888
  NPD

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

• Adventist Health System-Sunbelt, Inc

  • General Acute Care Hospital
  • Orlando, FL
  • NPI 1306938071

  Hospital

  Care Compare affiliation
• Adventist Health System-Sunbelt, Inc

  • Clinical Medical Laboratory
  • Orlando, FL
  • NPI 1801569728

  Hospital

  Care Compare affiliation
• Wheatland Memorial Healthcare

  • Critical Access Hospital
  • Harlowton, MT
  • NPI 1073687406

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201478400000",
    "number": "1497727804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8490 NE 150TH AVE",
            "city": "WILLISTON",
            "state": "FL",
            "postal_code": "326963842",
            "telephone_number": "407-758-4104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E DIXIE AVE",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485925",
            "telephone_number": "352-323-5762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSTAFA",
        "first_name": "IVAN",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2008-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP3098742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mayra Noemi Munoz Delgado, M.D.
• Elffy Munoz, MD
• Courtland Leroy Munroe, M.D.
• Carrie Murphy
• Tara Lynne Murphy, LMHC
• Mustard Seed Faith and Grace Inc.
• My Mobility LLC
• Myeyedr Optometry of Florida, LLC
• N Chandramohan MD PA
• Suresh Nadella, MD

• All providers in Leesburg, FL
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; 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.