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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

IRENE MUTUA FNP-C
NPI 1811795792
Family Medicine in Lakewood, WA

Active since March 05, 2025PECOS EnrolledAccepts Medicare Assignment
4903 108TH ST SW, LAKEWOOD, WA 98499(253) 589-6484(253) 984-1079 Get Directions Write a Review

NPPES record last updated: August 12, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 12, 2026, Mar 5, 2025 (2 updates tracked since 2025).

About Irene Mutua Fnp-c NPPES

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

IRENE MUTUA FNP-C (NPI 1811795792) is an individual family medicine provider in Lakewood, Washington, licensed in Washington (AP61667413) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1811795792
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameIRENE MUTUACredential: FNP-C
Location Address4903 108TH ST SWLakewood, WA 98499-3724
Mailing Address11033 191st Street Ct EPuyallup, WA 98374-6522 · (314) 629-9062
Phone(253) 589-6484
Fax(253) 984-1079
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 5, 2025
Last NPPES UpdateAugust 12, 20262 updates tracked since enumeration
NPPES CertifiedAugust 12, 2026
✔ NPI 1811795792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · AP61667413
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedRegistered NurseTaxonomy 163W00000X · License AP61667413 (WA)
4903 108TH ST SW, Lakewood, WA 98499
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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

Irene Mutua Fnp-c 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 ID2062939929
PECOS Enrollment IDI20250505003026
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 98499 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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 3

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

SAROJA BUDDHAVARAPU ARNP
Nurse Practitioner (Family)
4903 108TH ST SW
LAKEWOOD, WA 98499
Pierce County (253) 589-6484
VALERIE REED ARNP
Nurse Practitioner
4903 108TH ST SW
LAKEWOOD, WA 98499
Pierce County (360) 662-6273
JODI LEIGH ROOK PA-C
Physician Assistant
4903 108TH ST SW
LAKEWOOD, WA 98499
Pierce County (253) 584-3577

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 Irene Mutua's NPI number?

The NPI number for Irene Mutua is 1811795792. It was assigned to this individual provider in the NPPES registry on March 5, 2025.

Where is Irene Mutua located?

Irene Mutua practices at 4903 108th St SW, Lakewood, WA 98499. The listed phone number is (253) 589-6484.

What is Irene Mutua's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Irene Mutua enrolled in Medicare?

Yes. Irene Mutua 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 Irene Mutua was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.