MILLICENT M MUTISYA
NPI 1285308528
Nurse Practitioner - Family in Fairfax, VA

Q: 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.

Q: What is Millicent Mutisya's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Millicent Mutisya was last updated on November 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 02, 2021PECOS EnrolledAccepts Medicare Assignment

91.96/100

CMS Quality Rating

8613 ROUTE 29 # 200N, FAIRFAX, VA 22031(571) 350-8400(703) 280-9596 Get Directions Write a Review

NPPES record last updated: November 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 11, 2025, Apr 24, 2024, Oct 26, 2022 and 2 more (5 updates tracked since 2021).

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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 Inova Fairfax Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1285308528

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMILLICENT M MUTISYA

Location Address8613 ROUTE 29 # 200NFairfax, VA 22031-2171

Mailing Address3040 Williams Dr Ste 100Fairfax, VA 22031-4618 · (571) 350-8400 · Fax (703) 280-9596

Phone(571) 350-8400

Fax(703) 280-9596

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateAugust 2, 2021

Last NPPES UpdateNovember 11, 20255 updates tracked since enumeration

NPPES CertifiedNovember 11, 2025

✔ NPI 1285308528 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 VA · 0024180473

8613 ROUTE 29 # 200N, Fairfax, VA 22031

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Other Identifiers 2

Other2H1702DC · Medicare Ptan

Medicaid1285308528VA

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

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.

PECOS PAC ID9032517719

PECOS Enrollment IDI20211011001578, I20220815000984

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.

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

101 services59 patients

Administration of chemotherapy into vein, 1 hour or less 96413

Chemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.

25 services14 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

19 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Inova Fairfax Hospital

Acute Care Hospitals · Falls Church, VA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490063

Location3300 Gallows RoadFalls Church, VA 22042 · Fairfax County

Emergency services Birthing friendly

Inova Mount Vernon Hospital

Acute Care Hospitals · Alexandria, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490122

Location2501 Parkers LaneAlexandria, VA 22306 · Fairfax County

Emergency services

Physician 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.

New Patient

$100.31 typical visit price

range $65.18 – $194.86

Typical copayment $25.07 (range $16.29 – $48.71)

Most-billed visit code 99203

Established Patient

$113.72 typical visit price

range $21.40 – $158.88

Typical copayment $28.43 (range $5.35 – $39.72)

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.

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.

91.96/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

81.4

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 11

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

ANNE M FAVRET M.D.

Internal Medicine (Medical Oncology)