CAROLINE BETTY MUTHURI NP
NPI 1578031779
Nurse Practitioner - Primary Care in Fridley, MN

Q: What is Caroline Betty Muthuri's NPI number?

The NPI number for Caroline Betty Muthuri is 1578031779. It was assigned to this individual provider in the NPPES registry on November 6, 2018.

Q: What is Caroline Betty Muthuri's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Active since November 06, 2018PECOS Enrolled

550 OSBORNE RD NE, FRIDLEY, MN 55432(763) 236-3200 Get Directions Write a Review

NPPES record last updated: January 5, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 5, 2022, Nov 6, 2018 (2 updates tracked since 2018).

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About Caroline Betty Muthuri Np NPPES

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

CAROLINE BETTY MUTHURI NP (NPI 1578031779) is an individual primary care provider in Fridley, Minnesota, licensed in Minnesota (6132) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Bloomington.

NPPES Registry Identity

NPI1578031779

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameCAROLINE BETTY MUTHURICredential: NP

Location Address550 OSBORNE RD NEFridley, MN 55432-2718

Mailing Address8300 Norman Center Dr, Ste 230Bloomington, MN 55437-1050 · (763) 236-3200

Phone(763) 236-3200

Sole ProprietorYes

Enumeration DateNovember 6, 2018

Last NPPES UpdateJanuary 5, 20222 updates tracked since enumeration

NPPES CertifiedJanuary 5, 2022

✔ NPI 1578031779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in MN · 6132

550 OSBORNE RD NE, Fridley, MN 55432

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Secondary Practice Location 1

Location 18300 Norman Center Dr Ste 300Bloomington, MN 55437-1067 · Phone (866) 949-0108

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Caroline Betty Muthuri Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

Medicare enrollment records show Caroline Betty Muthuri reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Illumia Health LLC

12 mi

Hospice and Palliative Medicine

3580 LINDEN AVE STE A1
White Bear Lake, MN 55110

Reassigned Medicare billing, Minnesota enrollment
7 clinicians in this Medicare group

NPI 1972316289 (704) 664-2876

Signify Health Medical Associates, PLLC

862 mi

General Practice

4055 VALLEY VIEW LN STE 700
Dallas, TX 75244

Reassigned Medicare billing, Minnesota enrollment
166 clinicians in this Medicare group

NPI 1750845863 (972) 715-3800

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 55432 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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 20

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

LAURA JEANNE HOUFEK

Occupational Therapist