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RAISSA MUTUYIMANA NP
NPI 1902442874
Nurse Practitioner - Psychiatric/Mental Health in Warwick, RI

Active since November 26, 2019PECOS EnrolledAccepts Medicare Assignment
300 QUAKER LN # C2-4, WARWICK, RI 02886(401) 233-5051(401) 372-3445 Get Directions Write a Review

NPPES record last updated: May 29, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 29, 2020, Nov 26, 2019 (2 updates tracked since 2019).

About Raissa Mutuyimana Np NPPES

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

RAISSA MUTUYIMANA NP (NPI 1902442874) is an individual psychiatric/mental health provider in Warwick, Rhode Island, licensed in Pennsylvania (SP021157) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1902442874
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameRAISSA MUTUYIMANACredential: NP
Location Address300 QUAKER LN # C2-4Warwick, RI 02886-0159
Mailing Address30 W Monroe St Ste 1200Chicago, IL 60603-2420 · (312) 733-9730 · Fax (773) 866-8014
Phone(401) 233-5051
Fax(401) 372-3445
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 26, 2019
Last NPPES UpdateMay 29, 20202 updates tracked since enumeration
NPPES CertifiedMay 29, 2020
✔ NPI 1902442874 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 PA · SP021157
300 QUAKER LN # C2-4, Warwick, RI 02886
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1650 Branch Ave Ste 6Providence, RI 02904-1728 · Phone (401) 233-5055 · Fax (401) 519-6985
Location 25050 Parkside Ave Ste 2Philadelphia, PA 19131-4751 · Phone (602) 790-8059
Location 3712 Broad StProvidence, RI 02907-1465 · Phone (401) 233-5060 · Fax (401) 372-2618

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

Raissa Mutuyimana Np 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 ID8729413851
PECOS Enrollment IDI20200121000044, I20200901001443
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 02886 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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.

OSH - RI PHYSICIANS GROUP, PC
Clinic/Center (Primary Care)
300 QUAKER LN # C2-4
WARWICK, RI 02886
Kent County (312) 733-9730
DR. ASHLEY MICHELLE PLEIE DNP
Nurse Practitioner (Family)
300 QUAKER LN # C2-4
WARWICK, RI 02886
Kent County (401) 233-5051
CAITLIN NICOLE TAZI NP
Nurse Practitioner (Family)
300 QUAKER LN # C2-4
WARWICK, RI 02886
Kent County (401) 233-5051
MEAGHAN SLOANE LCSW
Social Worker
300 QUAKER LN # C2-4
WARWICK, RI 02886
Kent County (401) 233-5051
DR. EDWARD WESTRICK MD
Internal Medicine (Geriatric Medicine)
300 QUAKER LN # C2-4
WARWICK, RI 02886
Kent County (401) 233-5051
HEATHER L MACKEY-FOWLER M.D.
Family Medicine
300 QUAKER LN # C2-4
WARWICK, RI 02886
Kent County (401) 233-5051
AVA KING-BYRNE DNP, NP-C
Nurse Practitioner
300 QUAKER LN # C2-4
WARWICK, RI 02886
Kent County (401) 233-5051
DR. NICHOLAS T NIKOLOPOULOS DO
Family Medicine
300 QUAKER LN # C2-4
WARWICK, RI 02886
Kent County (401) 233-5051

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 Raissa Mutuyimana's NPI number?

The NPI number for Raissa Mutuyimana is 1902442874. It was assigned to this individual provider in the NPPES registry on November 26, 2019.

Where is Raissa Mutuyimana located?

Raissa Mutuyimana practices at 300 Quaker Ln # C2-4, Warwick, RI 02886. The listed phone number is (401) 233-5051.

What is Raissa Mutuyimana's specialty?

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

Is Raissa Mutuyimana enrolled in Medicare?

Yes. Raissa Mutuyimana 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 Raissa Mutuyimana was last updated on May 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.