Individual provider Active NPI

Natsai Mutokuto, NP

  • Family Nurse Practitioner
  • Gaithersburg, MD
National Provider Identifier
1700613577
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R233488 Issued in MD
Practice address
220 Girard St Ste 100
Gaithersburg, MD 20877-3467
Phone
(866) 877-7258
Fax
(301) 216-2891
NPI assigned
Sep 17, 2024
Last updated
May 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2026

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 R233488 MD Primary

Addresses

Primary practice location

220 Girard St Ste 100
Gaithersburg, MD 20877-3467

Mailing address

8665 Georgia Ave
Silver Spring, MD 20910-3405
Phone (301) 340-7525

Other practice location 1

7615 Ora Glen Dr
Greenbelt, MD 20770-3642
Phone (301) 340-7525

Other practice location 2

8630 Fenton St Ste 1200
Silver Spring, MD 20910-3808
Phone (866) 877-7258

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20250129001240 MD Practitioner - Nurse Practitioner 5991234494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Walnut Street Community Health Center, Inc.Group PAC ID 6305757402, shared by 2 NPIs, 18 clinicians
Community Clinic, IncGroup PAC ID 6204722614, shared by 6 NPIs, 33 clinicians

Practice addresses (Care Compare)

201 S Cleveland Ave
Hagerstown, MD 21740-5745
Phone (301) 745-3777

7676 New Hampshire Ave
Takoma Park, MD 20912-7514
Phone (301) 431-2972

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R233488MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Walnut Street Community Health Center, Inc. CurrentSince Dec 16, 2024 Accepting new patients
Walnut Street Community Health Center, Inc. CurrentSince Dec 16, 2024 Accepting new patients

Locations

201 S Cleveland Ave
Hagerstown, MD 21740
Phone (301) 745-3777

Interoperability endpoints

  • Direct secure messaging: natsai.mutokuto.1@30195.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1726531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1700613577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8665 GEORGIA AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103405",
            "telephone_number": "301-340-7525",
            "fax_number": "301-495-0318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 GIRARD ST STE 100",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208773467",
            "telephone_number": "866-877-7258",
            "fax_number": "301-216-2891"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7615 Ora Glen Dr",
            "address_purpose": "LOCATION",
            "city": "Greenbelt",
            "state": "MD",
            "postal_code": "207703642",
            "country_code": "US",
            "telephone_number": "301-340-7525",
            "fax_number": "301-495-0318",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8630 Fenton St Ste 1200",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209103808",
            "country_code": "US",
            "telephone_number": "866-877-7258",
            "fax_number": "301-585-1250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUTOKUTO",
        "first_name": "NATSAI",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-17",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R233488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

Verify at the official NPI Registry.