SALLY MICHELLE MUTCH CPNP-AC
NPI 1760958805
Nurse Practitioner - Acute Care in Houston, TX

Active since October 16, 2018PECOS Enrolled
6651 MAIN ST, HOUSTON, TX 77030(832) 826-1929 Get Directions Write a Review

NPPES record last updated: October 16, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Sally Michelle Mutch Cpnp-ac NPPES

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

SALLY MICHELLE MUTCH CPNP-AC (NPI 1760958805) is an individual acute care provider in Houston, Texas, licensed in Texas (686744) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760958805
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameSALLY MICHELLE MUTCHCredential: CPNP-AC
Location Address6651 MAIN STHouston, TX 77030-2351
Mailing Address1218 Bluebonnet DrSeabrook, TX 77586-4722
Sole ProprietorNo
Enumeration DateOctober 16, 2018
NPI 1760958805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in TX · 686744
6651 MAIN ST, Houston, TX 77030

Other Identifiers 1

Other0000N/a

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 (PECOS)

Sally Michelle Mutch Cpnp-ac 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

Obstetrics & Gynecology (Maternal & Fetal Medicine)
6651 MAIN ST, STE 420
HOUSTON, TX 77030
Pharmacist
6651 MAIN ST
HOUSTON, TX 77030
Advanced Practice Midwife
6651 MAIN ST, SUITE F.1500
HOUSTON, TX 77030
Genetic Counselor, MS
6651 MAIN ST, SUITEF420
HOUSTON, TX 77030
Dietitian, Registered
6651 MAIN ST, 420
HOUSTON, TX 77030
Genetic Counselor, MS
6651 MAIN ST, SUITE F450
HOUSTON, TX 77030
Obstetrics & Gynecology (Reproductive Endocrinology)
6651 MAIN ST, SUITE 1020
HOUSTON, TX 77030
Nurse Practitioner (Family)
6651 MAIN ST, SUITE 1020
HOUSTON, TX 77030

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760958805, enumerated as an "individual" on October 16, 2018.

The provider is located at 6651 MAIN ST HOUSTON, TX 77030 and the phone number is (832) 826-1929.

Nurse Practitioner with taxonomy code 363LA2100X and a focus in Acute Care.

The provider might be accepting Accepts: Moda Health Plan, Inc., Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.