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MRS. NOUGYE J MUTUNGI MUKOMA RN, MSN, FNP-BC
NPI 1275190795
Nurse Practitioner - Family in Dracut, MA

Active since May 20, 2019PECOS Enrolled
89 PATRICIA LN, DRACUT, MA 01826(857) 294-7441 Get Directions Write a Review

NPPES record last updated: September 5, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 5, 2023, May 20, 2019 (2 updates tracked since 2019).

About Mrs. Nougye J Mutungi Mukoma Rn, Msn, Fnp-bc NPPES

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

MRS. NOUGYE J MUTUNGI MUKOMA RN, MSN, FNP-BC (NPI 1275190795) is an individual family provider in Dracut, Massachusetts, licensed in Massachusetts (RN2267485) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275190795
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. NOUGYE J MUTUNGI MUKOMACredential: RN, MSN, FNP-BC
Location Address89 PATRICIA LNDracut, MA 01826-1225
Mailing Address89 Patricia LnDracut, MA 01826-1225 · (857) 294-7441
Phone(857) 294-7441
Sole ProprietorNo
Enumeration DateMay 20, 2019
Last NPPES UpdateSeptember 5, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2023
✔ NPI 1275190795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MA · RN2267485
Also ListedRegistered Nurse · Case ManagementTaxonomy 163WC0400X · License RN2267485 (MA)
89 PATRICIA LN, Dracut, MA 01826
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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Nougye J Mutungi Mukoma Rn, Msn, Fnp-bc 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.

Medicare Billing Reassignment

Medicare enrollment records show Nougye Mutungi Mukoma reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Matrix Medical Plus
939 mi
Nurse Practitioner
424 CHURCH ST STE 2600
Nashville, TN 37219
  • Reassigned Medicare billing, Massachusetts enrollment
  • 125 clinicians in this Medicare group
NPI 1376973461 (877) 564-3627

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 01826 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

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 Nougye Mutungi Mukoma's NPI number?

The NPI number for Nougye Mutungi Mukoma is 1275190795. It was assigned to this individual provider in the NPPES registry on May 20, 2019.

Where is Nougye Mutungi Mukoma located?

Nougye Mutungi Mukoma practices at 89 Patricia Ln, Dracut, MA 01826. The listed phone number is (857) 294-7441.

What is Nougye Mutungi Mukoma's specialty?

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

Is Nougye Mutungi Mukoma enrolled in Medicare?

Yes. Nougye Mutungi Mukoma is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nougye Mutungi Mukoma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nougye Mutungi Mukoma reassigns Medicare benefits to Matrix Medical Plus (Nashville, TN). The 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 Nougye Mutungi Mukoma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nougye Mutungi Mukoma accept?

Health plans from Harvard Pilgrim Health Care list Nougye Mutungi Mukoma 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 Nougye Mutungi Mukoma was last updated on September 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.