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LINA MUTHONI PMHNP-BC
NPI 1063237584
Nurse Practitioner - Psychiatric/Mental Health in Wayne, NJ

Active since November 19, 2024PECOS EnrolledAccepts Medicare Assignment
401 HAMBURG TPKE STE 302, WAYNE, NJ 07470(973) 790-9222 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lina Muthoni Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LINA MUTHONI PMHNP-BC (NPI 1063237584) is an individual psychiatric/mental health provider in Wayne, New Jersey, licensed in New Jersey (26NJ15127700) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1063237584
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLINA MUTHONICredential: PMHNP-BC
Location Address401 HAMBURG TPKE STE 302Wayne, NJ 07470-2139
Mailing Address401 Hamburg Tpke Ste 302Wayne, NJ 07470-2139 · (973) 790-9222
Phone(973) 790-9222
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 19, 2024
Last NPPES UpdateJuly 15, 2025
NPPES CertifiedJuly 15, 2025
✔ NPI 1063237584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NJ · 26NJ15127700
401 HAMBURG TPKE STE 302, Wayne, NJ 07470
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lina Muthoni Pmhnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416483508
PECOS Enrollment IDI20241212002406
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Lina Muthoni reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wayne Behavioral Service, LLC
Same address
Psychiatry
401 HAMBURG TPKE, STE. 302
Wayne, NJ 07470
  • Reassigned Medicare billing, New Jersey enrollment
  • 53 clinicians in this Medicare group
NPI 1487677795 (973) 790-9222
Aadia M Practice LLC
5.9 mi
Psychiatric/Mental Health
37 MEMORIAL PL FL 1
Elmwood Park, NJ 07407
  • Reassigned Medicare billing, New Jersey enrollment
NPI 1194654590 (201) 222-1318

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07470 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARIEL AVION VASSEL PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
401 HAMBURG TPKE STE 302
WAYNE, NJ 07470
Passaic County (973) 790-9222
MS. NIKOLINA ZEKANOVIC LCSW
Social Worker (Clinical)
401 HAMBURG TPKE STE 302
WAYNE, NJ 07470
Passaic County (973) 790-9222
DEBORAH EID PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
401 HAMBURG TPKE STE 302
WAYNE, NJ 07470
Passaic County (973) 790-9222
DR. ANNA KRAVTSOV D.O
Psychiatry & Neurology (Psychiatry)
401 HAMBURG TPKE STE 302
WAYNE, NJ 07470
Passaic County (973) 790-9222
MS. NATASHA DILLON NP
Nurse Practitioner (Psychiatric/Mental Health)
401 HAMBURG TPKE STE 302
WAYNE, NJ 07470
Passaic County (973) 790-9222
LINDA HEISER RDN LLC
Dietitian, Registered
401 HAMBURG TPKE STE 302
WAYNE, NJ 07470
Passaic County (973) 790-9222
RUPINDER KAUR
Nurse Practitioner (Psychiatric/Mental Health)
401 HAMBURG TPKE STE 302
WAYNE, NJ 07470
Passaic County (973) 790-9222
LAURA COHEN LCSW
Social Worker (Clinical)
401 HAMBURG TPKE STE 302
WAYNE, NJ 07470
Passaic County (973) 790-9222

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lina Muthoni's NPI number?

The NPI number for Lina Muthoni is 1063237584. It was assigned to this individual provider in the NPPES registry on November 19, 2024.

Where is Lina Muthoni located?

Lina Muthoni practices at 401 Hamburg Tpke Ste 302, Wayne, NJ 07470. The listed phone number is (973) 790-9222.

What is Lina Muthoni's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Lina Muthoni enrolled in Medicare?

Yes. Lina Muthoni is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Lina Muthoni's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lina Muthoni reassigns Medicare benefits to 2 organizations: Wayne Behavioral Service, LLC (Wayne, NJ) and Aadia M Practice LLC (Elmwood Park, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lina Muthoni's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lina Muthoni accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Lina Muthoni as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lina Muthoni was last updated on July 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.