Active NPI
Cassaundra M Mutum, DNP, ARNP-C
- Nurse Practitioner
- Ottumwa, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- A125560
- Practice address
- 1001 Pennsylvania Ave
Ottumwa, IA 52501-2186 - Phone
- (641) 984-2341
- NPI assigned
- Jun 19, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 17456 | WI | |
| Nurse Practitioner | 363L00000X | A125560 | IA | Primary |
| Acute Care Nurse Practitioner | 363LA2100X | A125560 | IA | |
| Family Nurse Practitioner | 363LF0000X | A125560 | IA |
Addresses
Primary practice location
1001 Pennsylvania Ave
Ottumwa, IA 52501-2186
Mailing address
200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 384-0520
Other practice location 1
503 3rd St
Kalona, IA 52247-9526
Phone (319) 656-3151
Other practice location 2
9576 Hwy 70
Minocqua, WI 54548-9067
Phone (715) 358-1000
Other practice location 3
201 S Clinton St Ste 168
Iowa City, IA 52240-4034
Phone (319) 384-0520
Other practice location 4
1227 E Rusholme St
Davenport, IA 52803-2459
Phone (563) 421-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A125560 | Other | IA | ARNP-CFNP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, NM, PA, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
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
- MCHS Hospitals Inc
Practice addresses (Care Compare)
1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511
1020 Thompson St
Jersey Shore, PA 17740-1729
Phone (570) 398-3113
9576 Hwy 70
Minocqua, WI 54548-9067
Phone (715) 358-1710
Hospital & facility affiliations
- Marshfield Medical Center - Minocqua
- Marshfield Medical Center
- Marshfield Medical Center - Rice Lake
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.15 of 100
- Quality
- 83.54
- Promoting interoperability
- 94.52
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17456 | WI | MD | Physical Therapist |
| A125560 | IA | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geisinger-HM Joint Venture, LLC | Nurse Practitioner | Current | Accepting new patients |
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Geisinger Clinic | Nurse Practitioner | Current | Accepting new patients |
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Iowa Emergency Physicians LLP | Nurse Practitioner | Current | Accepting new patients |
| Geisinger Clinic | Current | Accepting new patients | |
| Genesis Health System | Current | Accepting new patients | |
| Iowa Emergency Physicians LLP | Nurse Practitioner | Current | Accepting new patients |
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Genesis Health System | Current | Accepting new patients | |
| Waterloo Emergency Physicians, LLC | Current | Accepting new patients | |
| Geisinger-HM Joint Venture, LLC | Nurse Practitioner | Current | Accepting new patients |
| Geisinger Clinic | Current | Accepting new patients |
Locations
865 Lincoln Rd
Ste 100
Bettendorf, IA 52722
Phone (563) 355-1000
4700 E 56th St
Ste 100
Davenport, IA 52807
Phone (563) 383-2667
1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160
1600 Morgan St
Keokuk, IA 52632
Phone (319) 524-7150
3421 W 9th St
Waterloo, IA 50702
Phone (319) 272-7050
211 Sudderth Dr
Ruidoso, NM 88345
Phone (505) 257-7381
100 N Academy Ave
Danville, PA 17822
1020 Thompson St
Jersey Shore, PA 17740
Phone (570) 398-0100
10 Choate Cir
Montoursville, PA 17754
Phone (570) 368-5566
Organizations & group practices 22
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.
-
- Surgery Physician
- Davenport, IA
- NPI 1528616901
-
- Emergency Medicine Physician
- Waterloo, IA
- NPI 1386879427
Nurse Practitioner
-
- Emergency Medicine Physician
- Waterloo, IA
- NPI 1649013038
-
- Family Medicine Physician
- Lock Haven, PA
- NPI 1144876137
Nurse Practitioner
-
- Internal Medicine Physician
- Albuquerque, NM
- NPI 1104802354
-
- Emergency Medicine Physician
- Ottumwa, IA
- NPI 1477017663
-
- Clinic/Center
- Beaver Dam, WI
- NPI 1972188555
-
- Clinic/Center
- Park Falls, WI
- NPI 1194317966
-
- Critical Access Hospital
- Park Falls, WI
- NPI 1700963048
-
- Clinic/Center
- Rice Lake, WI
- NPI 1093201832
-
- Clinic/Center
- Marshfield, WI
- NPI 1952347981
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Rice Lake, WI
- NPI 1154415024
-
- Rural Acute Care Hospital
- Minocqua, WI
- NPI 1376197665
-
- Rural Acute Care Hospital
- Marshfield, WI
- NPI 1942749387
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776902400000",
"number": "1518497874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HAWKINS DR",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522421009",
"telephone_number": "319-384-0520",
"fax_number": "319-384-0603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 PENNSYLVANIA AVE",
"city": "OTTUMWA",
"state": "IA",
"postal_code": "525012186",
"telephone_number": "641-984-2341"
}
],
"practiceLocations": [
{
"address_1": "503 3rd St",
"address_purpose": "LOCATION",
"city": "Kalona",
"state": "IA",
"postal_code": "522479526",
"country_code": "US",
"telephone_number": "319-656-3151",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9576 Hwy 70",
"address_purpose": "LOCATION",
"city": "Minocqua",
"state": "WI",
"postal_code": "545489067",
"country_code": "US",
"telephone_number": "715-358-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "201 S Clinton St Ste 168",
"address_purpose": "LOCATION",
"city": "Iowa City",
"state": "IA",
"postal_code": "522404034",
"country_code": "US",
"telephone_number": "319-384-0520",
"fax_number": "319-384-0603",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1227 E Rusholme St",
"address_purpose": "LOCATION",
"city": "Davenport",
"state": "IA",
"postal_code": "528032459",
"country_code": "US",
"telephone_number": "563-421-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUTUM",
"first_name": "CASSAUNDRA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DNP, ARNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-19",
"last_updated": "2026-04-23",
"certification_date": "2026-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "17456",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IA",
"license": "A125560",
"primary": true
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "IA",
"license": "A125560",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IA",
"license": "A125560",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARNP-CFNP",
"identifier": "A125560",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ottumwa, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.