MR. PETER MUGETHA A-GNP-C
NPI 1861110991
Nurse Practitioner in Elkhart, IN
About Mr. Peter Mugetha A-gnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. PETER MUGETHA A-GNP-C (NPI 1861110991) is an individual nurse practitioner in Elkhart, Indiana, licensed in Indiana (71013009A) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS, is affiliated with Elkhart General Hospital, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Peter Mugetha A-gnp-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.
Medicare Billing Reassignment
Medicare enrollment records show Peter Mugetha reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Elkhart, IN 46516
- Reassigned Medicare billing, Indiana enrollment
- Medicare enrollment name: Heart City Health Center Inc
- 46 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Elkhart General Hospital
Acute Care Hospitals · Elkhart, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46516 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
ELKHART, IN 46516
ELKHART, IN 46516
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 Peter Mugetha's NPI number?
The NPI number for Peter Mugetha is 1861110991. It was assigned to this individual provider in the NPPES registry on August 15, 2022.
Where is Peter Mugetha located?
Peter Mugetha practices at 236 Simpson Ave, Elkhart, IN 46516. The listed phone number is (574) 293-0052.
What is Peter Mugetha's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Peter Mugetha enrolled in Medicare?
Yes. Peter Mugetha 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.
Which organization bills Medicare for Peter Mugetha's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Peter Mugetha reassigns Medicare benefits to Healthlinc, Inc (Elkhart, IN). The 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 Peter Mugetha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Peter Mugetha accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and UnitedHealthcare list Peter Mugetha as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Peter Mugetha affiliated with any hospitals?
According to CMS data, Peter Mugetha is affiliated with Elkhart General Hospital.
When was this NPI record last updated?
The NPPES record for Peter Mugetha was last updated on November 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mr. Peter Mugetha, A-GNP-C · NPI 1861110991
Nurse Practitioner physician in Elkhart, Indiana. Individual provider, active in the CMS NPPES registry since August 15, 2022.
## Identity
- **NPI:** 1861110991 (Entity type: Individual)
- **Enumerated:** August 15, 2022
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 71013009A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 236 SIMPSON AVE, Elkhart, IN 46516-4666
- **Phone:** (574) 293-0052
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Healthlinc, Inc (NPI 1720033418, Elkhart, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** November 3, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1861110991) · Data from the CMS NPPES public registry.