AMAL AHMED MUTHANA – Nurse Practitioner, NPI 1053002238
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
16,360 NURSE PRACTITIONER in CA
Provider Addresses for AMAL AHMED MUTHANA
36650 Road 112
Visalia, CA 932919517
Phone: (559) 735-1750
Type: Location
3103 SE LA VIDA CT
VISALIA, CA 932923994
Phone: (559) 356-9113
Type: Mailing
128 N AKERS ST STE C
VISALIA, CA 932915141
Phone: (559) 385-2133
Fax: (559) 385-2134
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 59 Open Payments records for all available years, with a total value of $1,203.
Total Amount is formed as General ($1,203) + Research ($0) + Ownership ($0) = $1,203.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Lilly USA, LLC ($219).
Total Amount
$1,203
General + Research + Ownership
Payments
59
Total payment records
General Amount
$1,203
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $219 |
| Janssen Biotech, Inc. | $185 |
| GENZYME CORPORATION | $172 |
| ABBVIE INC. | $144 |
| E.R. Squibb & Sons, L.L.C. | $134 |
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: 2023-11-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20231121002753 | I | Nurse Practitioner | CA | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 20 | 20 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 93291)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | CA | |
| Nurse Practitioner | CA | |
| Physician Assistant | CA | |
| Physician Assistant | CA | |
| Nurse Practitioner | CA |
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