Individual provider Active NPI

Germaine Mbuh

  • Nurse Practitioner
  • Coralville, IA
National Provider Identifier
1689157927
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
G172305 Issued in IA
Practice address
304 4TH Ave Apt 28
Coralville, IA 52241-2598
Phone
(641) 814-6161
NPI assigned
Sep 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 147037 IA
Nurse Practitioner 363L00000X G172305 IA Primary

Addresses

Primary practice location

304 4TH Ave Apt 28
Coralville, IA 52241-2598

Mailing address

304 4TH Ave Apt 28
Coralville, IA 52241-2598
Phone (641) 814-6161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, NY, WA, AZ, IA5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20240417001083 CO Practitioner - Nurse Practitioner 5597104083 Reassigns benefits to 2 organizations
I20250401000753 NY Practitioner - Nurse Practitioner 5597104083 Reassigns benefits to 1 organization
I20250407002799 WA Practitioner - Nurse Practitioner 5597104083 Reassigns benefits to 1 organization
I20250407003501 AZ Practitioner - Nurse Practitioner 5597104083 Reassigns benefits to 1 organization
I20250408000828 IA Practitioner - Nurse Practitioner 5597104083 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
147037IAMDLicensed Practical Nurse
G172305IAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Geric New Dawn Psychiatry PC Current Accepting new patients
Gaq Inner Peace Psychiatry CurrentSince Mar 15, 2024 Accepting new patients
Geric New Dawn Psychiatry PLLC Current Accepting new patients
Optimum Healthcare Services LLC CurrentSince Jun 18, 2023 Accepting new patients
Grow Healthcare Group PA CurrentSince Feb 28, 2025 Accepting new patients

Locations

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

1312 17th St
Denver, CO 80202
Phone (303) 997-0305

5445 Dtc Pkwy
Ph 4
Greenwood Village, CO 80111
Phone (720) 571-4874

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

4515 N River Blvd NE
Ste 200
Cedar Rapids, IA 52411
Phone (254) 423-8591

699 Walnut St
Ste 4
Des Moines, IA 50309
Phone (515) 278-9920

1700 S 1st Ave
Ste 25A
Iowa City, IA 52240
Phone (319) 849-8114

165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964

1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506

Organizations & group practices 5

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": "1536710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1689157927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 4TH AVE APT 28",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412598",
            "telephone_number": "641-814-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 4TH AVE APT 28",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412598",
            "telephone_number": "641-814-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBUH",
        "first_name": "GERMAINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-12",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "IA",
            "license": "147037",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "G172305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coralville, IA

Sources for this page

Verify at the official NPI Registry.