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DONALT MUTIMURA
NPI 1831919299
Nurse Practitioner in Utica, NY

Active since October 11, 2024PECOS Enrolled
1450 CHAMPLIN AVE, UTICA, NY 13502(315) 624-9004 Get Directions Write a Review

NPPES record last updated: October 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Donalt Mutimura NPPES

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

DONALT MUTIMURA (NPI 1831919299) is an individual nurse practitioner in Utica, New York, licensed in New York (405882) and active in the NPI registry since October 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1831919299
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameDONALT MUTIMURA
Location Address1450 CHAMPLIN AVEUtica, NY 13502-3605
Mailing Address1450 Champlin AveUtica, NY 13502-3605
Phone(315) 624-9004
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 11, 2024
NPPES CertifiedOctober 11, 2024
✔ NPI 1831919299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NY · 405882
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1450 CHAMPLIN AVE, Utica, NY 13502
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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 (PECOS)

Donalt Mutimura is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8921530718
PECOS Enrollment IDI20250820000757
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 13502 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 11

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

MARJORIE NAPLES RD
Dietitian, Registered
1450 CHAMPLIN AVE
UTICA, NY 13502
Oneida County (315) 624-9000
ASIMA KAJTAZOVIC FNP
Nurse Practitioner (Family)
1450 CHAMPLIN AVE
UTICA, NY 13502
Oneida County (315) 624-2900
PULMONARY CRITICAL CARE AND SLEEP MEDICINE PLLC
Internal Medicine (Pulmonary Disease)
1450 CHAMPLIN AVE
UTICA, NY 13502
Oneida County (315) 624-9000
MRS. CASEY LYNN KILBORNE FNP-C
Nurse Practitioner (Primary Care)
1450 CHAMPLIN AVE
UTICA, NY 13502
Oneida County (315) 624-9000
MOHAWK VALLEY FAMILY MEDICINE PLLC
Family Medicine
1450 CHAMPLIN AVE
UTICA, NY 13502
Oneida County (315) 624-2900
SLEEP DISORDERS LAB OF CENTRAL NEW YORK, LLC
Sleep Specialist, PhD
1450 CHAMPLIN AVE, SUITE 1
UTICA, NY 13502
Oneida County (315) 624-9004
ANWAR WASSEL MD
Internal Medicine (Pulmonary Disease)
1450 CHAMPLIN AVE
UTICA, NY 13502
Oneida County (315) 624-9000
DANIEL LEWIS ZEIDNER MD
Pediatrics
1450 CHAMPLIN AVE, UTICA PEDIATRICS
UTICA, NY 13502
Oneida County (315) 732-7909

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 Donalt Mutimura's NPI number?

The NPI number for Donalt Mutimura is 1831919299. It was assigned to this individual provider in the NPPES registry on October 11, 2024.

Where is Donalt Mutimura located?

Donalt Mutimura practices at 1450 Champlin Ave, Utica, NY 13502. The listed phone number is (315) 624-9004.

What is Donalt Mutimura's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Donalt Mutimura enrolled in Medicare?

Yes. Donalt Mutimura is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Donalt Mutimura was last updated on October 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.