MILLICENT M MUTISYA
NPI 1285308528
Nurse Practitioner - Family in Fairfax, VA
About Millicent M Mutisya NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MILLICENT M MUTISYA (NPI 1285308528) is an individual family provider in Fairfax, Virginia, licensed in Virginia (0024180473) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, is affiliated with Virginia Hospital Center, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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
Millicent M Mutisya 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.
Medicare Billing Reassignment
Medicare enrollment records show Millicent Mutisya reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fairfax, VA 22031
- Reassigned Medicare billing, District of Columbia and Virginia enrollments
- 78 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Virginia Hospital Center
Acute Care Hospitals · Arlington, VAInova Fairfax Hospital
Acute Care Hospitals · Falls Church, VAInova Mount Vernon Hospital
Acute Care Hospitals · Alexandria, VAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 22031 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FAIRFAX, VA 22031
FAIRFAX, VA 22031
FAIRFAX, VA 22031
FAIRFAX, VA 22031
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 Millicent Mutisya's NPI number?
The NPI number for Millicent Mutisya is 1285308528. It was assigned to this individual provider in the NPPES registry on August 2, 2021.
Where is Millicent Mutisya located?
Millicent Mutisya practices at 8613 Route 29 # 200N, Fairfax, VA 22031. The listed phone number is (571) 350-8400.
What is Millicent Mutisya's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Millicent Mutisya enrolled in Medicare?
Yes. Millicent Mutisya 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 organization bills Medicare for Millicent Mutisya's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Millicent Mutisya reassigns Medicare benefits to Virginia Cancer Specialists, P.C. (Fairfax, VA). 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 Millicent Mutisya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Millicent Mutisya affiliated with any hospitals?
According to CMS data, Millicent Mutisya is affiliated with Virginia Hospital Center, Inova Fairfax Hospital and Inova Mount Vernon Hospital.
When was this NPI record last updated?
The NPPES record for Millicent Mutisya was last updated on November 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Millicent M Mutisya · NPI 1285308528
Family physician in Fairfax, Virginia. Individual provider, active in the CMS NPPES registry since August 2, 2021.
## Identity
- **NPI:** 1285308528 (Entity type: Individual)
- **Enumerated:** August 2, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 0024180473 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 8613 ROUTE 29 # 200N, Fairfax, VA 22031-2171
- **Phone:** (571) 350-8400 · **Fax:** (703) 280-9596
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Virginia Cancer Specialists, P.C. (NPI 1346294519, Fairfax, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** November 11, 2025
- **Other identifiers:** Other 2H1702 (DC); Medicaid 1285308528 (VA)
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Source: [NPI Profile](https://npiprofile.com/npi/1285308528) · Data from the CMS NPPES public registry.