SITHANDIWE MAMUTSE APRN, MSN, PMHNP-BC
NPI 1942820444
Nurse Practitioner - Psychiatric/Mental Health in Crestview Hills, KY
About Sithandiwe Mamutse Aprn, Msn, Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SITHANDIWE MAMUTSE APRN, MSN, PMHNP-BC (NPI 1942820444) is an individual psychiatric/mental health provider in Crestview Hills, Kentucky, licensed in Kentucky (3014233) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
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
Sithandiwe Mamutse Aprn, Msn, Pmhnp-bc 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 Sithandiwe Mamutse reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Erlanger, KY 41018
- Reassigned Medicare billing, Kentucky enrollment
- 946 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 41017 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
CRESTVIEW HILLS, KY 41017
CRESTVIEW HILLS, KY 41017
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 Sithandiwe Mamutse's NPI number?
The NPI number for Sithandiwe Mamutse is 1942820444. It was assigned to this individual provider in the NPPES registry on April 24, 2020.
Where is Sithandiwe Mamutse located?
Sithandiwe Mamutse practices at 334 Thomas More Pkwy, Crestview Hills, KY 41017. The listed phone number is (859) 301-5901.
What is Sithandiwe Mamutse's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Sithandiwe Mamutse enrolled in Medicare?
Yes. Sithandiwe Mamutse 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 Sithandiwe Mamutse's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sithandiwe Mamutse reassigns Medicare benefits to Summit Medical Group, Inc (Erlanger, KY). 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 Sithandiwe Mamutse's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sithandiwe Mamutse accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Sithandiwe Mamutse 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.
When was this NPI record last updated?
The NPPES record for Sithandiwe Mamutse was last updated on April 12, 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.
# Sithandiwe Mamutse, APRN, MSN, PMHNP-BC · NPI 1942820444
Psychiatric/Mental Health physician in Crestview Hills, Kentucky. Individual provider, active in the CMS NPPES registry since April 24, 2020.
## Identity
- **NPI:** 1942820444 (Entity type: Individual)
- **Enumerated:** April 24, 2020
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 3014233 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 334 THOMAS MORE PKWY, Crestview Hills, KY 41017-3464
- **Phone:** (859) 301-5901 · **Fax:** (859) 301-5940
## 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:** Summit Medical Group, Inc (NPI 1508287640, Erlanger, KY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** April 12, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1942820444) · Data from the CMS NPPES public registry.