LORA MUTISO APRN
NPI 1689795536
Nurse Practitioner - Psychiatric/Mental Health in Lexington, KY

Active since April 02, 2007PECOS EnrolledAccepts Medicare Assignment
1306 VERSAILLES RD, SUITE 120, LEXINGTON, KY 40504(859) 259-2635(859) 254-7874 Get Directions Write a Review

NPPES record last updated: April 23, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 23, 2020, Feb 24, 2016, Feb 2, 2016 and 1 more (4 updates tracked since 2016).

About Lora Mutiso Aprn NPPES

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

LORA MUTISO APRN (NPI 1689795536) is an individual psychiatric/mental health provider in Lexington, Kentucky, licensed in Kentucky (3004380) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1689795536
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLORA MUTISOCredential: APRN
Location Address1306 VERSAILLES RD, SUITE 120Lexington, KY 40504-1796
Mailing Address1306 Versailles Rd, Suite 120Lexington, KY 40504-1796 · (859) 259-2635 · Fax (859) 254-7874
Fax(859) 254-7874
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateApril 2, 2007
Last NPPES UpdateApril 23, 20204 updates tracked since enumeration
NPPES CertifiedApril 23, 2020
NPI 1689795536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in KY · 3004380
Also ListedNurse PractitionerTaxonomy 363L00000X · License 4380P (KY)
1306 VERSAILLES RD, Lexington, KY 40504

Other Identifiers 1

Medicaid7100384290KY

Accepted 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

Lora Mutiso Aprn 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 ID840593588
PECOS Enrollment IDI20160129000842
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 40504 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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 9

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

Clinic/Center (Federally Qualified Health Center (FQHC))
1306 VERSAILLES RD, SUITE 120
LEXINGTON, KY 40504
Counselor (Professional)
1306 VERSAILLES RD
LEXINGTON, KY 40504
Social Worker (Clinical)
1306 VERSAILLES RD, STE 120
LEXINGTON, KY 40504
Social Worker (Clinical)
1306 VERSAILLES RD, STE 120
LEXINGTON, KY 40504
Nurse Practitioner (Family)
1306 VERSAILLES RD, STE 120
LEXINGTON, KY 40504
Family Medicine
1306 VERSAILLES RD, STE 120
LEXINGTON, KY 40504
Social Worker (Clinical)
1306 VERSAILLES RD, STE 120
LEXINGTON, KY 40504
Nurse Practitioner (Family)
1306 VERSAILLES RD, STE 120
LEXINGTON, KY 40504

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 Lora Mutiso's NPI number?

The NPI number for Lora Mutiso is 1689795536. It was assigned to this individual provider in the NPPES registry on April 2, 2007.

Where is Lora Mutiso located?

Lora Mutiso practices at 1306 Versailles Rd Suite 120, Lexington, KY 40504. The listed phone number is (859) 259-2635.

What is Lora Mutiso's specialty?

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

Is Lora Mutiso enrolled in Medicare?

Yes. Lora Mutiso 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.

What insurance does Lora Mutiso accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Lora Mutiso 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 Lora Mutiso was last updated on April 23, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.