Active NPI
Musheni Nsa, M.D.
- Pediatrics Physician
- Yukon, OK
National Provider Identifier
1679863369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35049
- Practice address
- 1401 W Vandament Ave
Yukon, OK 73099-4666 - Phone
- (405) 632-6688
- NPI assigned
- Apr 14, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35049 | OK | Primary |
| Pediatrics Physician | 208000000X | 036141158 | IL |
Addresses
Primary practice location
1401 W Vandament Ave
Yukon, OK 73099-4666
Mailing address
3000 N Grand Blvd
Oklahoma City, OK 73107-1818
Phone (405) 632-6688
Other practice location 1
500 SW 44th St
Oklahoma City, OK 73109-3540
Phone (405) 632-6688
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036141158 | IL | MD | Pediatrics Physician |
| 35049 | OK | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Centers Inc. | Past | Accepting new patients | |
| Variety Care, Inc. | Past | Accepting new patients |
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.
-
- Federally Qualified Health Center (FQHC)
- Oklahoma City, OK
- NPI 1376725812
-
- Federally Qualified Health Center (FQHC)
- Oklahoma City, OK
- NPI 1780697813
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787616000000",
"number": "1679863369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 N GRAND BLVD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731071818",
"telephone_number": "405-632-6688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 W VANDAMENT AVE",
"city": "YUKON",
"state": "OK",
"postal_code": "730994666",
"telephone_number": "405-632-6688"
}
],
"practiceLocations": [
{
"address_1": "500 SW 44th St",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731093540",
"country_code": "US",
"telephone_number": "405-632-6688",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NSA",
"first_name": "MUSHENI",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-14",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OK",
"license": "35049",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036141158",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yukon, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.