SOURA ALAA MUSTAPHA ARNP
NPI 1487268009
Nurse Practitioner in Renton, WA

Q: What is Soura Mustapha's NPI number?

The NPI number for Soura Mustapha is 1487268009. It was assigned to this individual provider in the NPPES registry on September 1, 2020.

Q: What is Soura Mustapha's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Soura Mustapha was last updated on January 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since September 01, 2020PECOS EnrolledAccepts Medicare Assignment

16200 116TH AVE SE, RENTON, WA 98058(425) 400-1899(425) 663-8000 Get Directions Write a Review

NPPES record last updated: January 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 5, 2024, Sep 2, 2020 (2 updates tracked since 2020).

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About Soura Alaa Mustapha Arnp NPPES

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

SOURA ALAA MUSTAPHA ARNP (NPI 1487268009) is an individual nurse practitioner in Renton, Washington, licensed in Washington (AP61592937) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1487268009

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSOURA ALAA MUSTAPHACredential: ARNP

Location Address16200 116TH AVE SERenton, WA 98058-5200

Mailing Address955 Powell Ave SwRenton, WA 98057-2908 · (425) 277-1311 · Fax (425) 277-1566

Phone(425) 400-1899

Fax(425) 663-8000

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateSeptember 1, 2020

Last NPPES UpdateJanuary 23, 20252 updates tracked since enumeration

NPPES CertifiedJanuary 23, 2025

✔ NPI 1487268009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in WA · AP61592937

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License RN61057597 (WA)

16200 116TH AVE SE, Renton, WA 98058

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

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

Soura Alaa Mustapha Arnp 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 ID941657324

PECOS Enrollment IDI20240827003528

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98058 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

$97.43 typical visit price

range $63.67 – $189.37

Typical copayment $24.35 (range $15.91 – $47.34)

Most-billed visit code 99203

Established Patient

$111.00 typical visit price

range $21.12 – $155.00

Typical copayment $27.75 (range $5.28 – $38.75)

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.

Other Providers at the Same Location NPPES 14

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

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Nurse Practitioner