Raissa Mutuyimana, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

SP021157 Issued in PA

Practice address

300 Quaker LN # C2-4
Warwick, RI 02886-0159

Phone

(401) 233-5051

Fax

(401) 372-3445

NPI assigned

Nov 26, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, RI2 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 2

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Osh - PA Physicians Group, PCGroup PAC ID 7517213879, 113 clinicians

Osh - Ri Physicians Group PCGroup PAC ID 5193051936, 32 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: raissa.mutuyimana@oakstreethealth.gwaydirect.com

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.

• Osh - Ri Physicians Group, PC

  • Primary Care Clinic/Center
  • Warwick, RI
  • NPI 1063984813
  Medicare reassignment Care Compare group NPD
• Osh - PA Physicians Group, PC

  • Primary Care Clinic/Center
  • Philadelphia, PA
  • NPI 1811405533
  Medicare reassignment Care Compare group NPD
• Osh-Mi Physicians Group PC

  • Family Medicine Physician
  • Greensboro, NC
  • NPI 1033766092

  Psychiatric/Mental Health

  NPD (past)

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

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590710400000",
    "number": "1902442874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 W MONROE ST STE 1200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606032420",
            "telephone_number": "312-733-9730",
            "fax_number": "773-866-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 QUAKER LN # C2-4",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028860159",
            "telephone_number": "401-233-5051",
            "fax_number": "401-372-3445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 Branch Ave Ste 6",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029041728",
            "country_code": "US",
            "telephone_number": "401-233-5055",
            "fax_number": "401-519-6985",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5050 Parkside Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191314751",
            "country_code": "US",
            "telephone_number": "602-790-8059",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "712 Broad St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029071465",
            "country_code": "US",
            "telephone_number": "401-233-5060",
            "fax_number": "401-372-2618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUTUYIMANA",
        "first_name": "RAISSA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-26",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP021157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelica Muscatelli
• Jerome Musco Jr., LCSW
• Alexander Thomas Mut, PA-C
• Zurich Aaron Mutchler
• Peri Mutewera, DMD
• MW Wellness Ventures II, LLC
• My Place for Medical, LLC
• Beverly A Myers, MD
• Brooke Myers, RN
• Elizabeth Erin Myers, PHARMD

• Psychiatric/Mental Health Nurse Practitioner in Warwick, RI
• Providers in Warwick, RI by specialty
• Psychiatric/Mental Health Nurse Practitioner in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.