ELVANA MUKA
NPI 1952073561
Nurse Practitioner - Family in Mount Vernon, OH

Active since October 01, 2021PECOS EnrolledAccepts Medicare Assignment
1330 COSHOCTON AVE, MOUNT VERNON, OH 43050(740) 393-9000 Get Directions Write a Review

NPPES record last updated: August 27, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 27, 2023, Oct 1, 2021 (2 updates tracked since 2021).

About Elvana Muka NPPES

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

ELVANA MUKA (NPI 1952073561) is an individual family provider in Mount Vernon, Ohio, licensed in Ohio (0029737) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, is affiliated with Knox Community Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1952073561
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameELVANA MUKA
Location Address1330 COSHOCTON AVEMount Vernon, OH 43050-1495
Mailing Address1330 Coshocton AveMount Vernon, OH 43050-1495 · (740) 393-9000
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 1, 2021
Last NPPES UpdateAugust 27, 20232 updates tracked since enumeration
NPPES CertifiedAugust 27, 2023
✔ NPI 1952073561 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 OH · 0029737
1330 COSHOCTON AVE, Mount Vernon, OH 43050

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

Elvana Muka 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 ID1254725294
PECOS Enrollment IDI20220308001645
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Elvana Muka reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
1330 COSHOCTON AVE
Mount Vernon, OH 43050
  • Reassigned Medicare billing, Ohio enrollment
  • 191 clinicians in this Medicare group
Public Health or Welfare
11660 UPPER GILCHRIST RD
Mount Vernon, OH 43050
  • Reassigned Medicare billing, Ohio enrollment
  • 16 clinicians in this Medicare group
Nurse Practitioner
8115 MAPLE LAWN BLVD STE 350
Fulton, MD 20759
  • Reassigned Medicare billing, Ohio enrollment
  • 8 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

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.

Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
12 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Knox Community Hospital

Acute Care Hospitals · Mount Vernon, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360040
Location1330 Coshocton RoadMount Vernon, OH 43050 · Knox County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43050 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
1330 COSHOCTON AVE
MOUNT VERNON, OH 43050
Clinic/Center
1330 COSHOCTON AVE
MOUNT VERNON, OH 43050
Clinic/Center (Urgent Care)
1330 COSHOCTON AVE
MOUNT VERNON, OH 43050
Anesthesiology (Pain Medicine)
1330 COSHOCTON AVE
MOUNT VERNON, OH 43050
Internal Medicine
1330 COSHOCTON AVE
MOUNT VERNON, OH 43050
Pathology (Anatomic Pathology & Clinical Pathology)
1330 COSHOCTON AVE
MOUNT VERNON, OH 43050
Nurse Practitioner
1330 COSHOCTON AVE
MOUNT VERNON, OH 43050
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1330 COSHOCTON AVE
MOUNT VERNON, OH 43050

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 Elvana Muka's NPI number?

The NPI number for Elvana Muka is 1952073561. It was assigned to this individual provider in the NPPES registry on October 1, 2021.

Where is Elvana Muka located?

Elvana Muka practices at 1330 Coshocton Ave, Mount Vernon, OH 43050. The listed phone number is (740) 393-9000.

What is Elvana Muka's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Elvana Muka enrolled in Medicare?

Yes. Elvana Muka 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 organizations bill Medicare for Elvana Muka's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elvana Muka reassigns Medicare benefits to 3 organizations: Knox Community Hospital (Mount Vernon, OH), Knox County General Health District (Mount Vernon, OH) and Easy Health Medical Solutions PC (Fulton, MD). Each 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 Elvana Muka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elvana Muka accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Elvana Muka 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.

Is Elvana Muka affiliated with any hospitals?

According to CMS data, Elvana Muka is affiliated with Knox Community Hospital.

When was this NPI record last updated?

The NPPES record for Elvana Muka was last updated on August 27, 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.