RUTENDO MAVUNGA NP
NPI 1104513654
Nurse Practitioner in Allendale, MI

Q: What is Rutendo Mavunga's NPI number?

The NPI number for Rutendo Mavunga is 1104513654. It was assigned to this individual provider in the NPPES registry on April 24, 2023.

Q: What is Rutendo Mavunga's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Rutendo Mavunga was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since April 24, 2023PECOS Enrolled

1 CAMPUS DR, ALLENDALE, MI 49401(616) 331-5000 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Rutendo Mavunga Np NPPES

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

RUTENDO MAVUNGA NP (NPI 1104513654) is an individual nurse practitioner in Allendale, Michigan, licensed in Michigan (4704326990) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104513654

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameRUTENDO MAVUNGACredential: NP

Location Address1 CAMPUS DRAllendale, MI 49401-9401

Mailing Address1 Campus DrAllendale, MI 49401-9401 · (616) 331-5000

Phone(616) 331-5000

Sole ProprietorYes

Enumeration DateApril 24, 2023

Last NPPES UpdateNovember 5, 2025

NPPES CertifiedNovember 5, 2025

✔ NPI 1104513654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MI · 4704326990

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1 CAMPUS DR, Allendale, MI 49401

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rutendo Mavunga Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49401 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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 20

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

DR. MEGHAN ELIZABETH FOX ATC

Specialist/Technologist (Athletic Trainer)

1 CAMPUS DR
ALLENDALE, MI 49401

Ottawa County (616) 331-8541

NICHOLAS STEVENS MAT, ATC

Specialist/Technologist (Athletic Trainer)

1 CAMPUS DR
ALLENDALE, MI 49401

Ottawa County (616) 331-5000

DR. BRIAN EMIL BOSSICK PH.D.

Psychologist (Counseling)

1 CAMPUS DR
ALLENDALE, MI 49401

Ottawa County (616) 331-3266

MR. TODD JACOB JAGER I ATC

Specialist/Technologist (Athletic Trainer)

1 CAMPUS DR, GRAND VALLEY STATE UNIVERSITY, 84 FIELD HOUSE
ALLENDALE, MI 49401

Ottawa County (616) 331-3329

LAYLAH ALI

Specialist/Technologist (Athletic Trainer)

1 CAMPUS DR
ALLENDALE, MI 49401

Ottawa County (616) 331-3133

JESSICA REITMEYER

Specialist/Technologist (Athletic Trainer)

1 CAMPUS DR, FH 066
ALLENDALE, MI 49401

Ottawa County (616) 331-3133

ALEX MICHAEL AAMODT ATS

Student in an Organized Health Care Education/Training Program

1 CAMPUS DR
ALLENDALE, MI 49401

Ottawa County (231) 855-2540

DR. SHARI BARTZ-SMITH PHD, ATC, CSCS

Specialist/Technologist (Athletic Trainer)

1 CAMPUS DR
ALLENDALE, MI 49401

Ottawa County (616) 331-3044

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 Rutendo Mavunga's NPI number?

The NPI number for Rutendo Mavunga is 1104513654. It was assigned to this individual provider in the NPPES registry on April 24, 2023.

Where is Rutendo Mavunga located?

Rutendo Mavunga practices at 1 Campus Dr, Allendale, MI 49401. The listed phone number is (616) 331-5000.

What is Rutendo Mavunga's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Rutendo Mavunga enrolled in Medicare?

Yes. Rutendo Mavunga is registered in the Medicare PECOS enrollment system.

What insurance does Rutendo Mavunga accept?

Health plans from Priority Health list Rutendo Mavunga 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 Rutendo Mavunga was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.