KUDZWAI MUTANGA
NPI 1932947918
Nurse Practitioner - Family in Conroe, TX

Active since July 16, 2024PECOS Enrolled
1020 RIVERWOOD CT STE 330, CONROE, TX 77304(936) 441-1005 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 8, 2024, Jul 16, 2024 (2 updates tracked since 2024).

About Kudzwai Mutanga NPPES

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

KUDZWAI MUTANGA (NPI 1932947918) is an individual family provider in Conroe, Texas, licensed in Texas (1156226) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1932947918
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKUDZWAI MUTANGA
Location Address1020 RIVERWOOD CT STE 330Conroe, TX 77304-2975
Mailing Address1020 Riverwood Ct Ste 330Conroe, TX 77304-2975 · (315) 530-3623
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 16, 2024
Last NPPES UpdateAugust 8, 20242 updates tracked since enumeration
NPPES CertifiedAugust 8, 2024
NPI 1932947918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TX · 1156226
1020 RIVERWOOD CT STE 330, Conroe, TX 77304

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kudzwai Mutanga is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315475241
PECOS Enrollment IDI20250106003546
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 77304 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1932947918, enumerated as an "individual" on July 16, 2024.

The provider is located at 1020 RIVERWOOD CT STE 330 CONROE, TX 77304 and the phone number is (936) 441-1005.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.