OMAR MUSA (FNP-C) – Family Nurse Practitioner, NPI 1891323960

OMAR MUSA (FNP-C) is a healthcare provider. based in Mammoth lakes, California. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 95011830 (CA). The NPI Number for OMAR MUSA (FNP-C) is 1891323960

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
OMAR MUSA (FNP-C)
NPI
1891323960
Phone
(760) 716-3854
Address
PO BOX 8791
Enumeration Date
1 April 2020
Last Update Date
8 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7608738464
Graduation Year
2018 (8 years ago)
PAC ID
3274945704
Group Practice PAC ID
2668419813
Professional Enrollment ID
I20201207002389
Address ID
CA935148130BI250XXLNXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for OMAR MUSA (FNP-C)

  • PO BOX 8791

    MAMMOTH LAKES, CA 935468791

    Phone: (760) 716-3854

    Type: Mailing

  • 250 N SEE VEE LN

    BISHOP, CA 935148130

    Phone: (760) 873-8461

    Fax: (760) 873-3935

    Type: Location

  • 85 Sierra Park Rd

    Mammoth Lakes, CA 935462073

    Phone: (760) 934-3311

    Type: Location

  • 250 N See Vee Ln

    Bishop, CA 935148130

    Phone: (760) 873-8461

    Fax: (760) 873-3908

    Type: Location

  • 67 EVANS ROAD

    WOFFORD HEIGHTS, CA 932859640

    Phone: (760) 376-2276

    Fax: (760) 376-4801

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2020-12-07

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201207002389INurse PractitionerCATBD

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 93546)

Loading plans...

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: 2668419813View full group profile
NameSpecialtyState
Marriage And Family TherapistCA
N E P H R O L O G YCA
Family PracticeCA
O P T O M E T R YCA
Physician AssistantCA
O P T O M E T R YCA
-CA
Marriage And Family TherapistCA
Nurse PractitionerCA
Family PracticeCA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What identifier follows OMAR MUSA (FNP-C) across health systems?
The NPI 1891323960 uniquely identifies OMAR MUSA (FNP-C) in U.S. healthcare data.
Does the public listing show OMAR MUSA (FNP-C) as active?
OMAR MUSA (FNP-C)'s NPI record reflects an active status in NPPES.
Which specialty label fits OMAR MUSA (FNP-C)?
NPPES ties OMAR MUSA (FNP-C) to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to OMAR MUSA (FNP-C)?
OMAR MUSA (FNP-C) is associated with Mammoth Lakes, California in the same public data insurers reference.
Why is information missing for OMAR MUSA (FNP-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

Similar Providers

MS. SHELLY ANN VINATIERI (NP)

Family Nurse Practitioner
Mammoth Hospital, 85, Sierra Park Road, Old Mammoth, Mammoth Lakes, Mono County, California, 93546, United States
NPI: 1932246402
1780 River Meadows Drive
NPI: 1700084894

ERIKO SUZUKI (R.N., M.S., N.P.)

Family Nurse Practitioner
PO BOX 660
NPI: 1023445921

CAROLYN KORFIATIS (FNP-BC)

Family Nurse Practitioner
PO BOX 660
NPI: 1417373770

CLARE MICHELLE WHITE (FNP-C)

Family Nurse Practitioner
PO BOX 660
NPI: 1790378990

LANA RAE HANSEN MURPHY (FNP-BC)

Family Nurse Practitioner
PO BOX 8836
NPI: 1013894872