PETER MAINGI MUTITI
NPI 1407625163
Nurse Practitioner - Psychiatric/Mental Health in Angola, IN

Active since December 21, 2023PECOS Enrolled
200 HOOSIER DR, ANGOLA, IN 46703, ANGOLA, IN 46703(800) 342-5653 Get Directions Write a Review

NPPES record last updated: February 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 6, 2026, Jan 27, 2026 (2 updates tracked since 2026).

About Peter Maingi Mutiti NPPES

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

PETER MAINGI MUTITI (NPI 1407625163) is an individual psychiatric/mental health provider in Angola, Indiana, licensed in Indiana (71017638A) and active in the NPI registry since December 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1407625163
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NamePETER MAINGI MUTITI
Location Address200 HOOSIER DR, ANGOLA, IN 46703Angola, IN 46703
Mailing Address200 Hoosier Dr, AngolaAngola, IN 46703 · (800) 342-5653
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 21, 2023
Last NPPES UpdateFebruary 6, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2026
✔ NPI 1407625163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IN · 71017638A
200 HOOSIER DR, ANGOLA, IN 46703, Angola, IN 46703

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peter Maingi Mutiti is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3476033374
PECOS Enrollment IDI20260218004167
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 Peter Mutiti reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
201 E RUDISILL BLVD
Fort Wayne, IN 46806
  • Reassigned Medicare billing, Indiana enrollment
  • 260 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46703 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 Peter Mutiti's NPI number?

The NPI number for Peter Mutiti is 1407625163. It was assigned to this individual provider in the NPPES registry on December 21, 2023.

Where is Peter Mutiti located?

Peter Mutiti practices at 200 Hoosier Dr, Angola, In 46703, Angola, IN 46703. The listed phone number is (800) 342-5653.

What is Peter Mutiti's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Peter Mutiti enrolled in Medicare?

Yes. Peter Mutiti is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Peter Mutiti's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Mutiti reassigns Medicare benefits to Bowen Health Inc (Fort Wayne, IN). 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 Peter Mutiti's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Peter Mutiti accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Peter Mutiti 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 Peter Mutiti was last updated on February 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.