MUSA MAWANDA (APRN) – Medical-Surgical Registered Nurse, NPI 1073258752

MUSA MAWANDA (APRN) is a healthcare provider. based in Bowling green, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 4016790 (KY). The NPI Number for MUSA MAWANDA (APRN) is 1073258752

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
MUSA MAWANDA (APRN)
NPI
1073258752
Phone
Not provided
Address
250 PARK ST
Enumeration Date
28 April 2022
Last Update Date
8 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2708663161
Graduation Year
2023 (3 years ago)
PAC ID
0941735641
Group Practice PAC ID
6305947789
Professional Enrollment ID
I20241118003538
Address ID
KY426424622RU404XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

7,343 NURSE PRACTITIONER in KY

Provider Addresses for MUSA MAWANDA (APRN)

  • 250 PARK ST

    BOWLING GREEN, KY 421011760

    Phone:

    Type: Mailing

  • PO BOX 1080

    BURKESVILLE, KY 427171080

    Phone: (270) 864-1472

    Fax: (270) 864-1693

    Type: Mailing

  • 404 STEVE DRIVE

    RUSSELL SPRINGS, KY 426424622

    Phone: (270) 866-3161

    Fax: (270) 866-3163

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $37.

Total Amount is formed as General ($37) + Research ($0) + Ownership ($0) = $37.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Seqirus USA Inc ($21).

Total Amount

$37

General + Research + Ownership

Payments

2

Total payment records

General Amount

$37

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

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: 2024-11-18

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
I20241118003538INurse PractitionerKYTBD

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 42101)

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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: 6305947789View full group profile
NameSpecialtyState
Nurse PractitionerKY
Nurse PractitionerKY
Certified Nurse Midwife (Cnm)KY
Clinical Social WorkerKY
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
O B S T E T R I C S/ G Y N E C O L O G YKY
Certified Nurse Midwife (Cnm)KY
Nurse PractitionerKY

Reviews

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Frequently asked questions

What NPI should I save for MUSA MAWANDA (APRN)?
Save NPI 1073258752 if you need a stable reference for MUSA MAWANDA (APRN).
Is MUSA MAWANDA (APRN) active in the national directory?
MUSA MAWANDA (APRN)'s public NPI profile is in an active state.
What does MUSA MAWANDA (APRN) treat or focus on?
Patients typically see MUSA MAWANDA (APRN) under the specialty Medical-Surgical Registered Nurse. Clinical services aligned with this taxonomy classification.
Does MUSA MAWANDA (APRN) practice in Kentucky?
You will see Bowling Green, Kentucky on file for MUSA MAWANDA (APRN) alongside any extra practice locations.
Is MUSA MAWANDA (APRN) a real provider?
This page reflects official NPPES data for NPI 1073258752. Always confirm identity and privileges with the practice and licensing boards.

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