DONALT MUTIMURA
NPI 1831919299
Nurse Practitioner in Utica, NY

Q: 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.

Q: What is Donalt Mutimura's specialty?

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

Q: 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 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.

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: October 25, 2026.

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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.

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

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Donalt Mutimura 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.

Medicare Billing Reassignments

Medicare enrollment records show Donalt Mutimura reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pulmonary Critical Care And Sleep Medicine PLLC

Same address

Pulmonary Disease

1450 CHAMPLIN AVE
Utica, NY 13502

Reassigned Medicare billing, New York enrollment
6 clinicians in this Medicare group

NPI 1194080291 (315) 624-9000

Sehwan Medical Care PLLC

168 mi

Psychiatry

955 YONKERS AVE STE 102
Yonkers, NY 10704

Reassigned Medicare billing, New York enrollment
73 clinicians in this Medicare group

NPI 1598537250 (347) 667-7924

Beyond Mental Health LLC

273 mi

Nurse Practitioner

2007 PAULETTE RD APT 203
Dundalk, MD 21222

Reassigned Medicare billing, Maryland enrollment

NPI 1114801396 (202) 300-7616

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 10

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

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

DR. YEKATERINA A KASHTANOVA MD

Internal Medicine (Nephrology)

1450 CHAMPLIN AVE
UTICA, NY 13502

Oneida County (315) 624-9000

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.

Which organizations bill Medicare for Donalt Mutimura's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donalt Mutimura reassigns Medicare benefits to 3 organizations: Pulmonary Critical Care And Sleep Medicine PLLC (Utica, NY), Sehwan Medical Care PLLC (Yonkers, NY) and Beyond Mental Health LLC (Dundalk, MD). 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 Donalt Mutimura's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 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.