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MUTIATU MODUPE MOIBI
NPI 1831999176
Nurse Practitioner - Psychiatric/Mental Health in Chicago, IL

Active since March 17, 2025PECOS EnrolledAccepts Medicare Assignment
4621 N RACINE AVE, CHICAGO, IL 60640(773) 784-2300 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mutiatu Modupe Moibi NPPES

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

MUTIATU MODUPE MOIBI (NPI 1831999176) is an individual psychiatric/mental health provider in Chicago, Illinois, licensed in Illinois (209030990) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1831999176
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMUTIATU MODUPE MOIBI
Location Address4621 N RACINE AVEChicago, IL 60640-4905
Mailing Address5336 Davis StSkokie, IL 60077-1535 · (773) 615-6099
Phone(773) 784-2300
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 17, 2025
NPPES CertifiedMarch 16, 2025
✔ NPI 1831999176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IL · 209030990
4621 N RACINE AVE, Chicago, IL 60640
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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

Mutiatu Modupe Moibi 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 ID3870069420
PECOS Enrollment IDI20260421000195
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 60640 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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

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

4621 CORPORATION
Skilled Nursing Facility
4621 N RACINE AVE
CHICAGO, IL 60640
Cook County (773) 784-2300

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 Mutiatu Moibi's NPI number?

The NPI number for Mutiatu Moibi is 1831999176. It was assigned to this individual provider in the NPPES registry on March 17, 2025.

Where is Mutiatu Moibi located?

Mutiatu Moibi practices at 4621 N Racine Ave, Chicago, IL 60640. The listed phone number is (773) 784-2300.

What is Mutiatu Moibi's specialty?

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

Is Mutiatu Moibi enrolled in Medicare?

Yes. Mutiatu Moibi 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 Mutiatu Moibi was last updated on March 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.