MUSA MAWANDA APRN
NPI 1073258752
Nurse Practitioner - Family in Russell Springs, KY

Active since April 28, 2022PECOS EnrolledAccepts Medicare Assignment
404 STEVE DRIVE, RUSSELL SPRINGS, KY 42642(270) 866-3161(270) 866-3163 Get Directions Write a Review

NPPES record last updated: November 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 8, 2024, Oct 6, 2024, Apr 28, 2022 (3 updates tracked since 2022).

About Musa Mawanda Aprn NPPES

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

MUSA MAWANDA APRN (NPI 1073258752) is an individual family provider in Russell Springs, Kentucky, licensed in Kentucky (4016790) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with Taylor Regional Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1073258752
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMUSA MAWANDACredential: APRN
Location Address404 STEVE DRIVERussell Springs, KY 42642-4622
Mailing AddressPo Box 1080Burkesville, KY 42717-1080 · (270) 864-1472 · Fax (270) 864-1693
Fax(270) 866-3163
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateApril 28, 2022
Last NPPES UpdateNovember 8, 20243 updates tracked since enumeration
NPPES CertifiedOctober 5, 2024
NPI 1073258752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in KY · 4016790
404 STEVE DRIVE, Russell Springs, KY 42642

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Musa Mawanda Aprn 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 ID941735641
PECOS Enrollment IDI20241118003538
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.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Taylor Regional Hospital

Acute Care Hospitals · Campbellsville, KY
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number180087
Location1700 Old Lebanon RoadCampbellsville, KY 42718 · Taylor County
Emergency services

Monroe County Medical Center

Acute Care Hospitals · Tompkinsville, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180105
Location529 Capp Harlan RoadTompkinsville, KY 42167 · Monroe County
Emergency services

Tj Health Columbia

Acute Care Hospitals · Columbia, KY
OwnershipGovernment - Hospital District or Authority
CMS Certification Number180149
Location901 Westlake DriveColumbia, KY 42728 · Adair County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42642 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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 6

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

Family Medicine
404 STEVE DRIVE
RUSSELL SPRINGS, KY 42642
Nurse Practitioner (Pediatrics)
404 STEVE DRIVE
RUSSELL SPRINGS, KY 42642
Counselor (Professional)
404 STEVE DRIVE
RUSSELL SPRINGS, KY 42642
Clinic/Center (Federally Qualified Health Center (FQHC))
404 STEVE DRIVE
RUSSELL SPRINGS, KY 42642
Nurse Practitioner (Family)
404 STEVE DRIVE
RUSSELL SPRINGS, KY 42642
Internal Medicine
404 STEVE DRIVE
RUSSELL SPRINGS, KY 42642

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 Musa Mawanda's NPI number?

The NPI number for Musa Mawanda is 1073258752. It was assigned to this individual provider in the NPPES registry on April 28, 2022.

Where is Musa Mawanda located?

Musa Mawanda practices at 404 Steve Drive, Russell Springs, KY 42642. The listed phone number is (270) 866-3161.

What is Musa Mawanda's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Musa Mawanda enrolled in Medicare?

Yes. Musa Mawanda 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.

Is Musa Mawanda affiliated with any hospitals?

According to CMS data, Musa Mawanda is affiliated with Taylor Regional Hospital, Monroe County Medical Center and Tj Health Columbia.

When was this NPI record last updated?

The NPPES record for Musa Mawanda was last updated on November 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.