Individual provider Active NPI

Henry Asongwe Muma, FNP-C

  • Family Nurse Practitioner
  • Rio Rancho, NM
National Provider Identifier
1659110252
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
79126 Issued in NM
Practice address
4311 Golden Eagle CT NE Apt D306
Rio Rancho, NM 87144-7034
Phone
(505) 310-4296
NPI assigned
May 22, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 14594 CT
Family Nurse Practitioner 363LF0000X 79126 NM Primary

Addresses

Primary practice location

4311 Golden Eagle CT NE Apt D306
Rio Rancho, NM 87144-7034

Mailing address

4311 Golden Eagle CT NE
Rio Rancho, NM 87144-7034
Phone (505) 310-4296

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, KY, ID, CT4 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
I20240617001018 NM Practitioner - Nurse Practitioner 4486197696 Reassigns benefits to 1 organization
I20250307000243 KY Practitioner - Nurse Practitioner 4486197696 Reassigns benefits to 1 organization
I20250318002216 ID Practitioner - Nurse Practitioner 4486197696 Reassigns benefits to 1 organization
I20250424001001 CT Practitioner - Nurse Practitioner 4486197696 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
79126NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Community Healthcare, Inc. Current Accepting new patients
Molina Care Connections, LLC. CurrentSince Jul 29, 2024 Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

175 Scott Swamp Rd
Farmington, CT 06032
Phone (860) 249-6752

950 W Bannock St
Ste 1100
Boise, ID 83702
Phone (201) 293-7689

5100 Commerce Crossings Dr
Louisville, KY 40229
Phone (502) 305-6267

2001 El Centro Familiar Blvd SW
Albuquerque, NM 87105
Phone (505) 873-7462

400 Tijeras Ave NW
Ste 200
Albuquerque, NM 87102

Interoperability endpoints

  • Direct secure messaging: hmuma16910@direct-prd.molinahealthcare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1659110252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4311 GOLDEN EAGLE CT NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871447034",
            "telephone_number": "505-310-4296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4311 GOLDEN EAGLE CT NE APT D306",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871447034",
            "telephone_number": "505-310-4296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUMA",
        "first_name": "HENRY",
        "middle_name": "ASONGWE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-22",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "14594",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "79126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

Verify at the official NPI Registry.