JENNA MUT
NPI 1891267779
Physician Assistant in Providence, RI

Q: What is the provider's specialty?

The provider's specialty is Physician Assistant with taxonomy code 363A00000X.

Active since December 17, 2018PECOS Enrolled

593 EDDY STREET, CLAVERICK 2, PROVIDENCE, RI 02903(401) 444-4000 Get Directions Write a Review

NPPES record last updated: July 30, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 30, 2024, Jul 15, 2024, Apr 27, 2021 and 1 more (4 updates tracked since 2018).

Table of Contents

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Secondary Locations
Medicare Participation & PECOS Status
Areas of Expertise
Physician Visit Costs
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Physician Assistant
PECOS Enrolled

About JENNA MUT

This page provides the complete NPI Profile along with additional information for Jenna Mut, a primary care provider established in Providence, Rhode Island with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1891267779 assigned on December 2018. The practitioner's primary taxonomy code is 363A00000X with license number PA01677 (RI). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI: 1891267779 Verify this NPI
Provider Name: JENNA MUT
Gender: Female
Entity Type: Individual
Location Address: 593 EDDY STREET CLAVERICK 2 PROVIDENCE, RI 02903
Location Phone: (401) 444-4000
Mailing Address: 125 WHIPPLE ST STE 3 PROVIDENCE, RI 02908
Is Sole Proprietor?: No
Enumeration Date: 12-17-2018
Last Update Date: 07-30-2024
Code Navigator

A primary care provider (PCP) like Jenna Mut sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Secondary Locations

209 Martin Luther King Jr Way
Tacoma, WA 98405
(253) 596-3300

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Physician Assistant
Taxonomy Code: 363A00000X
Type: Physician Assistants & Advanced Practice Nursing Providers
License No.: PA01677
License State: RI
Taxonomy Description: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)
1	363A00000X	Physician Assistants & Advanced Practice Nursing Providers	Physician Assistant	PA60923118 (WA)

Medicare Participation & PECOS Enrollment Status

Jenna Mut is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Emergency department visit with high level of medical decision making
Emergency department visit with moderate level of medical decision making

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 02903 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

Average New Patient Price $90.48
Minimum New Patient Price $58.57
Maximum New Patient Price $177.03

Average New Patient Copayment $22.62
Minimum New Patient Copayment $14.64
Maximum New Patient Copayment $44.25

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

Average Established Patient Price $72.93
Minimum Established Patient Price $18.92
Maximum Established Patient Price $144.38

Average Established Patient Copayment $18.23
Minimum Established Patient Copayment $4.73
Maximum Established Patient Copayment $36.09

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.