YVON MUSANGANYA MUKUNZI (MSN, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1699537696

YVON MUSANGANYA MUKUNZI (MSN, PMHNP-BC) is a healthcare provider. based in Glendale, Arizona. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, PMHNP-BC. They hold a License No. 4704366596 (MI). The NPI Number for YVON MUSANGANYA MUKUNZI (MSN, PMHNP-BC) is 1699537696

Main info

Male
Sole Proprietor
2 Years Of Experience
Name
YVON MUSANGANYA MUKUNZI (MSN, PMHNP-BC)
NPI
1699537696
Phone
(602) 363-0629
Address
7155 W CAMPO BELLO DR STE C120
Enumeration Date
25 January 2024
Last Update Date
9 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8883443893
Graduation Year
2024 (2 years ago)
PAC ID
6901241736
Group Practice PAC ID
6800275603
Professional Enrollment ID
I20251029002627
Address ID
FL321374772PA389XXSWXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:2State licenses:3Digital endpointsOther names

7,509 NURSE PRACTITIONER in AZ

Provider Addresses for YVON MUSANGANYA MUKUNZI (MSN, PMHNP-BC)

  • 7155 W CAMPO BELLO DR STE C120

    GLENDALE, AZ 853088594

    Phone: (602) 363-0629

    Fax: (480) 247-4179

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2024-05-29 • Largest payer in this snapshot: ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-29

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-10-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240301003005INurse PractitionerAZTBD
I20240513001835INurse PractitionerMITBD
I20240810000131INurse PractitionerCTTBD
I20251029002627INurse PractitionerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 85308)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6800275603View full group profile
NameSpecialtyState
Nurse PractitionerVT
Nurse PractitionerFL
Nurse PractitionerCT
Nurse PractitionerFL
Nurse PractitionerCT
Nurse PractitionerLA

Reviews

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Frequently asked questions

Where can patients find YVON MUSANGANYA MUKUNZI (MSN, PMHNP-BC)'s NPI?
You can confirm YVON MUSANGANYA MUKUNZI (MSN, PMHNP-BC) with NPI 1699537696; it appears in the national provider directory.
Is YVON MUSANGANYA MUKUNZI (MSN, PMHNP-BC)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is YVON MUSANGANYA MUKUNZI (MSN, PMHNP-BC)?
The page reflects Psychiatric/Mental Health Nurse Practitioner for YVON MUSANGANYA MUKUNZI (MSN, PMHNP-BC). Clinical services aligned with this taxonomy classification.
What location shows for YVON MUSANGANYA MUKUNZI (MSN, PMHNP-BC)?
We surface Glendale, Arizona for YVON MUSANGANYA MUKUNZI (MSN, PMHNP-BC) based on available NPPES addresses.
How can I contact YVON MUSANGANYA MUKUNZI (MSN, PMHNP-BC)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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