Individual provider Active NPI

Cassaundra M Mutum, DNP, ARNP-C

  • Nurse Practitioner
  • Ottumwa, IA
National Provider Identifier
1518497874
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A125560 Issued in IA
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

Updated by the provider on Apr 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
A125560OtherIAARNP-CFNP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, NM, PA, WI4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20170721000114 IA Practitioner - Nurse Practitioner 0840560074 Reassigns benefits to 4 organizations
I20240201000393 NM Practitioner - Nurse Practitioner 0840560074 Reassigns benefits to 1 organization
I20241004001225 PA Practitioner - Nurse Practitioner 0840560074 Reassigns benefits to 2 organizations
I20260501000014 WI Practitioner - Nurse Practitioner 0840560074 Reassigns benefits to 9 organizations

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 IncGroup PAC ID 5698071173, shared by 28 NPIs, 1,195 clinicians
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
95.15 of 100Reported as apm
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

LicenseStateTypeSpecialty
17456WIMDPhysical Therapist
A125560IAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger-HM Joint Venture, LLC Nurse Practitioner Current Accepting new patients
Presbyterian Healthcare Services CurrentSince Jan 17, 2024 Accepting new patients
Geisinger Clinic Nurse Practitioner Current Accepting new patients
Presbyterian Healthcare Services Current Accepting new patients
Iowa Emergency Physicians LLP Nurse Practitioner CurrentSince Jan 16, 2021 Accepting new patients
Geisinger Clinic CurrentSince Sep 16, 2024 Accepting new patients
Genesis Health System CurrentSince Jul 11, 2022 Accepting new patients
Iowa Emergency Physicians LLP Nurse Practitioner CurrentSince Jan 16, 2021 Accepting new patients
Presbyterian Healthcare Services CurrentSince Jan 17, 2024 Accepting new patients
Genesis Health System CurrentSince Jul 11, 2022 Accepting new patients
Waterloo Emergency Physicians, LLC CurrentSince Oct 15, 2024 Accepting new patients
Geisinger-HM Joint Venture, LLC Nurse Practitioner CurrentSince Sep 16, 2024 Accepting new patients
Geisinger Clinic CurrentSince Sep 16, 2024 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.

View all 22

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": "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

Verify at the official NPI Registry.