JOHN GIKUNGU MUTHIGA
NPI 1710624143
Nurse Practitioner - Psychiatric/Mental Health in Lewisville, TX

Active since May 17, 2022PECOS EnrolledAccepts Medicare Assignment
873 S STEMMONS FWY STE 100, LEWISVILLE, TX 75067(713) 516-3849 Get Directions Write a Review

NPPES record last updated: November 29, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 5, 2023, May 17, 2022 (2 updates tracked since 2022).

About John Gikungu Muthiga NPPES

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

JOHN GIKUNGU MUTHIGA (NPI 1710624143) is an individual psychiatric/mental health provider in Lewisville, Texas, licensed in Texas (1115893) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Raleigh, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1710624143
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameJOHN GIKUNGU MUTHIGA
Location Address873 S STEMMONS FWY STE 100Lewisville, TX 75067-5351
Mailing Address2637 Hamlet Green DrRaleigh, NC 27614-8076 · (919) 637-0325
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 17, 2022
Last NPPES UpdateNovember 29, 20232 updates tracked since enumeration
NPPES CertifiedNovember 29, 2023
✔ NPI 1710624143 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 TX · 1115893
Also ListedRegistered Nurse · Psychiatric/Mental Health, AdultTaxonomy 163WP0809X · License 226171 (NC)
873 S STEMMONS FWY STE 100, Lewisville, TX 75067

Secondary Practice Location 1

Location 12637 Hamlet Green DrRaleigh, NC 27614-8076 · Phone (919) 637-0325

Accepted Insurance

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

John Gikungu Muthiga 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 ID6002274669
PECOS Enrollment IDI20230614002534
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

2

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

Same address
Psychiatric/Mental Health
873 S STEMMONS FWY STE 100
Lewisville, TX 75067
  • Reassigned Medicare billing, Texas enrollment
Family
3101 WILLOW CREEK CT
Northlake, TX 76226
  • Reassigned Medicare billing, Texas enrollment
  • 2 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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
35 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75067 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 2

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

Home Health
873 S STEMMONS FWY STE 100
LEWISVILLE, TX 75067
Nurse Practitioner (Psychiatric/Mental Health)
873 S STEMMONS FWY STE 100
LEWISVILLE, TX 75067

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 John Muthiga's NPI number?

The NPI number for John Muthiga is 1710624143. It was assigned to this individual provider in the NPPES registry on May 17, 2022.

Where is John Muthiga located?

John Muthiga practices at 873 S Stemmons Fwy Ste 100, Lewisville, TX 75067. The listed phone number is (713) 516-3849.

What is John Muthiga's specialty?

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

Is John Muthiga enrolled in Medicare?

Yes. John Muthiga 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 John Muthiga's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Muthiga reassigns Medicare benefits to 2 organizations: Balanced Pathways (Lewisville, TX) and Bethesda Family Practice LLC (Northlake, TX). 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 John Muthiga's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Muthiga accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 6 other insurers list John Muthiga 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 John Muthiga was last updated on November 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.