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

Q: 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.

Q: What is Mutengwana Kasapu-mwaba's specialty?

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

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: July 26, 2026.

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

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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

Phone(815) 726-2200

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

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Secondary Practice Location 1

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

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

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.

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 19

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

STEPHANY EMERICK

Pharmacy Technician

2025 S CHICAGO ST
JOLIET, IL 60436

Will County (815) 723-0300

CHERYL HAGLUND

Pharmacy Technician

2025 S CHICAGO ST
JOLIET, IL 60436

Will County (815) 723-0300

Y.M.SHAHMDSC

Specialist

2025 S CHICAGO ST
JOLIET, IL 60436

Will County (815) 726-2200

KALPANA T. SHAH, DMD, PC

Dentist

2025 S CHICAGO ST
JOLIET, IL 60436

Will County (815) 727-5813

MRS. PAULA JEAN HALL RD LDN

Dietitian, Registered

2025 S CHICAGO ST, 1051 ESSINGTON RD.
JOLIET, IL 60436

Will County (815) 726-2200

DR. KALPANA TUSHAR SHAH D.M.D.

Dentist (General Practice)

2025 S CHICAGO ST
JOLIET, IL 60436

Will County (815) 727-5813

PRIMARY PHARMACY INC

Pharmacy (Clinic Pharmacy)

2025 S CHICAGO ST
JOLIET, IL 60436

Will County (815) 723-0300

LABORATORY CORPORATION OF AMERICA

Clinical Medical Laboratory

2025 S CHICAGO ST
JOLIET, IL 60436

Will County (815) 722-3751

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.

When was this NPI record last updated?

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