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DR. CODY MICHAEL MUTTER DO
NPI 1386492437
Student in an Organized Health Care Education/Training Program in Wyoming, MI

Active since May 13, 2024PECOS Enrolled
5900 BYRON CENTER AVE SW, WYOMING, MI 49519(616) 252-7200 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 14, 2025, May 13, 2024 (2 updates tracked since 2024).

About Dr. Cody Michael Mutter Do NPPES

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

DR. CODY MICHAEL MUTTER DO (NPI 1386492437) is an individual student in an organized health care education/training program in Wyoming, Michigan and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1386492437
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. CODY MICHAEL MUTTERCredential: DO
Location Address5900 BYRON CENTER AVE SWWyoming, MI 49519-9606
Mailing Address5900 Byron Center Ave SwWyoming, MI 49519-9606 · (616) 252-7200
Phone(616) 252-7200
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMay 13, 2024
Last NPPES UpdateAugust 14, 20252 updates tracked since enumeration
NPPES CertifiedAugust 14, 2025
✔ NPI 1386492437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 5101028875 (MI)
5900 BYRON CENTER AVE SW, Wyoming, MI 49519
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Cody Michael Mutter Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7517402514
PECOS Enrollment IDI20251215000191
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.

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.

MATTHEW AARON ERCK DO
Internal Medicine
5900 BYRON CENTER AVE SW
WYOMING, MI 49519
Kent County (616) 252-7200
AMANDA BRONSON DO
Student in an Organized Health Care Education/Training Program
5900 BYRON CENTER AVE SW
WYOMING, MI 49519
Kent County (616) 252-7078
GANESH KUMAR DO
Student in an Organized Health Care Education/Training Program
5900 BYRON CENTER AVE SW
WYOMING, MI 49519
Kent County (616) 252-7200
DR. SARAH PRATT DO
Student in an Organized Health Care Education/Training Program
5900 BYRON CENTER AVE SW
WYOMING, MI 49519
Kent County (616) 252-7200
SAMANTHA BLAIR PA-C
Physician Assistant
5900 BYRON CENTER AVE SW
WYOMING, MI 49519
Kent County (812) 909-7200
CASSANDRA PAIGE FRITCH NP
Nurse Practitioner (Family)
5900 BYRON CENTER AVE SW
WYOMING, MI 49519
Kent County (616) 252-7200
DR. TRISTAN J WORTHINGTON DO
Family Medicine
5900 BYRON CENTER AVE SW
WYOMING, MI 49519
Kent County (616) 252-7200
MRS. KELLY ANN MURPHY DNP, FNP-C
Nurse Practitioner (Family)
5900 BYRON CENTER AVE SW
WYOMING, MI 49519
Kent County (616) 252-3900

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 Cody Mutter's NPI number?

The NPI number for Cody Mutter is 1386492437. It was assigned to this individual provider in the NPPES registry on May 13, 2024.

Where is Cody Mutter located?

Cody Mutter practices at 5900 Byron Center Ave SW, Wyoming, MI 49519. The listed phone number is (616) 252-7200.

What is Cody Mutter's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Cody Mutter enrolled in Medicare?

Yes. Cody Mutter is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Cody Mutter was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.