MRS. MUTENGWANA KASAPU-MWABA
NPI 1619480696
Nurse Practitioner - Family in Joliet, IL

Active since November 13, 2017PECOS EnrolledAccepts Medicare Assignment
2025 S CHICAGO ST, JOLIET, IL 60436(815) 726-2200 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 2, 2025, Oct 7, 2020, Nov 13, 2017 (3 updates tracked since 2017).

About Mrs. Mutengwana Kasapu-mwaba NPPES

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

MRS. MUTENGWANA KASAPU-MWABA (NPI 1619480696) is an individual family provider in Joliet, Illinois, licensed in Illinois (277002697) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Morris, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1619480696
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. MUTENGWANA KASAPU-MWABA
Location Address2025 S CHICAGO STJoliet, IL 60436-3172
Mailing Address310 N Hammes AveJoliet, IL 60435-8118 · (815) 714-9933 · Fax (815) 869-8738
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateNovember 13, 2017
Last NPPES UpdateSeptember 2, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2025
✔ NPI 1619480696 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 IL · 277002697
2025 S CHICAGO ST, Joliet, IL 60436

Secondary Practice Location 1

Location 13725 W Nettle Creek DrMorris, IL 60450-8732 · Phone (678) 559-5065

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Mutengwana Kasapu-mwaba 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 ID7618214503
PECOS Enrollment IDI20201029000226
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

3

Medicare enrollment records show Mutengwana Kasapu-mwaba reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
1106 NEAL AVE
Joliet, IL 60433
  • Reassigned Medicare billing, Illinois enrollment
  • 34 clinicians in this Medicare group
Family
310 N HAMMES AVE STE 300B
Joliet, IL 60435
  • Reassigned Medicare billing, Illinois enrollment
Primary Care
1715 E 95TH ST
Chicago, IL 60617
  • Reassigned Medicare billing, Illinois enrollment
  • 343 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 60436 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

Nurse Practitioner (Family)
2025 S CHICAGO ST
JOLIET, IL 60436
Pharmacy (Community/Retail Pharmacy)
2025 S CHICAGO ST
JOLIET, IL 60436
Pharmacy Technician
2025 S CHICAGO ST
JOLIET, IL 60436
Internal Medicine
2025 S CHICAGO ST
JOLIET, IL 60436
Internal Medicine
2025 S CHICAGO ST
JOLIET, IL 60436
Nurse Practitioner (Family)
2025 S CHICAGO ST
JOLIET, IL 60436
Nurse Practitioner (Family)
2025 S CHICAGO ST
JOLIET, IL 60436
Nurse Practitioner (Family)
2025 S CHICAGO ST
JOLIET, IL 60436

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 Mutengwana Kasapu-mwaba's NPI number?

The NPI number for Mutengwana Kasapu-mwaba is 1619480696. It was assigned to this individual provider in the NPPES registry on November 13, 2017.

Where is Mutengwana Kasapu-mwaba located?

Mutengwana Kasapu-mwaba practices at 2025 S Chicago St, Joliet, IL 60436. The listed phone number is (815) 726-2200.

What is Mutengwana Kasapu-mwaba's specialty?

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

Is Mutengwana Kasapu-mwaba enrolled in Medicare?

Yes. Mutengwana Kasapu-mwaba is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Mutengwana Kasapu-mwaba's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mutengwana Kasapu-mwaba reassigns Medicare benefits to 3 organizations: Will County Community Health Center (Joliet, IL), Maysah Ehealth & Wellness LLC (Joliet, IL) and Oak Street Health Physicians Group, PC (Chicago, IL). Each 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 Mutengwana Kasapu-mwaba's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mutengwana Kasapu-mwaba was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.