Individual provider Active NPI

Geoffrey Mutisya Muthami, CRNP

  • Family Nurse Practitioner
  • Shippensburg, PA
National Provider Identifier
1679059489
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP018926 Issued in PA
Practice address
10498 Mapleton Rd
Shippensburg, PA 17257-9026
Phone
(717) 729-0806
NPI assigned
Jul 15, 2018
Last updated
Apr 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP018926 PA Primary

Addresses

Primary practice location

10498 Mapleton Rd
Shippensburg, PA 17257-9026

Mailing address

10498 Mapleton Rd
Shippensburg, PA 17257-9026
Phone (717) 729-0806

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20181101001033 PA Practitioner - Nurse Practitioner 4486907862 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Pennsylvania Physician Alliance, LLCGroup PAC ID 8325478662, 112 clinicians

Practice addresses (Care Compare)

601 Roxbury Rd
Shippensburg, PA 17257-9302
Phone (888) 829-9974

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.57 of 100Reported as group
Quality
100
Improvement activities
40
Cost
51.89

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP018926PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Creek Medical, PLLC CurrentSince Sep 20, 2022 Accepting new patients
Eastern Pennsylvania Physician Alliance LLC CurrentSince May 5, 2025 Accepting new patients
Signify Health Medical Associates, PLLC General Practice CurrentSince Feb 1, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1000 Claremont Rd
Carlisle, PA 17013
Phone (717) 241-1960

2 Hospital Dr
Clarion, PA 16214
Phone (800) 253-4906

600 N 2nd St
Ste 401
Harrisburg, PA 17101
Phone (844) 341-2339

601 Roxbury Rd
Shippensburg, PA 17257
Phone (717) 532-4217

1001 S George St
Fl 5
York, PA 17403
Phone (717) 516-1290

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1531612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1679059489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10498 MAPLETON RD",
            "city": "SHIPPENSBURG",
            "state": "PA",
            "postal_code": "172579026",
            "telephone_number": "717-729-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10498 MAPLETON RD",
            "city": "SHIPPENSBURG",
            "state": "PA",
            "postal_code": "172579026",
            "telephone_number": "717-729-0806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTHAMI",
        "first_name": "GEOFFREY",
        "middle_name": "MUTISYA",
        "name_prefix": "Mr.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-15",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP018926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shippensburg, PA

Sources for this page

Verify at the official NPI Registry.