ZILLAH MULUBISHA
NPI 1912447780
Nurse Practitioner - Primary Care in Coon Rapids, MN

Active since February 27, 2017PECOS EnrolledAccepts Medicare Assignment
3776 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433(763) 340-2330(763) 340-1444 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 7, 2019, Sep 21, 2018, Feb 27, 2017 (3 updates tracked since 2017).

About Zillah Mulubisha NPPES

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

ZILLAH MULUBISHA (NPI 1912447780) is an individual primary care provider in Coon Rapids, Minnesota, licensed in Minnesota (AG01170249) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Minneapolis, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1912447780
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameZILLAH MULUBISHA
Location Address3776 COON RAPIDS BLVD NWCoon Rapids, MN 55433-2629
Mailing Address2529 132nd Ln NwCoon Rapids, MN 55448-1205 · (763) 340-2330 · Fax (763) 340-1444
Fax(763) 340-1444
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateFebruary 27, 2017
Last NPPES UpdateJune 23, 20263 updates tracked since enumeration
NPPES CertifiedJune 23, 2026
NPI 1912447780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in MN · AG01170249
3776 COON RAPIDS BLVD NW, Coon Rapids, MN 55433

Secondary Practice Location 1

Location 1Brooklyn Park Clinic, 7650 Zane Ave NMinneapolis, MN 55443 · Phone (612) 873-0000 · Fax (612) 873-1957

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

Zillah Mulubisha 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 ID1658644752
PECOS Enrollment IDI20170912003268
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 55433 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

Genetic Counselor, MS
3776 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433

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 Zillah Mulubisha's NPI number?

The NPI number for Zillah Mulubisha is 1912447780. It was assigned to this individual provider in the NPPES registry on February 27, 2017.

Where is Zillah Mulubisha located?

Zillah Mulubisha practices at 3776 Coon Rapids Blvd NW, Coon Rapids, MN 55433. The listed phone number is (763) 340-2330.

What is Zillah Mulubisha's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Zillah Mulubisha enrolled in Medicare?

Yes. Zillah Mulubisha 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 Zillah Mulubisha was last updated on June 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.