JASPER MUKWADA (FNP) – Family Nurse Practitioner, NPI 1558815787

JASPER MUKWADA (FNP) is a healthcare provider. based in Kalamazoo, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 4704274083 (MI). The NPI Number for JASPER MUKWADA (FNP) is 1558815787

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
JASPER MUKWADA (FNP)
NPI
1558815787
Phone
(269) 341-8481
Address
601 JOHN ST
Enumeration Date
4 August 2016
Last Update Date
3 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5742551400
Graduation Year
2015 (11 years ago)
PAC ID
4981992856
Group Practice PAC ID
6406126572
Professional Enrollment ID
I20190109002136
Address ID
IN465457103MI1625XBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:9State licenses:2Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

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Provider Addresses for JASPER MUKWADA (FNP)

  • Bronson Methodist Hospital, 601, John Street, Kalamazoo, Kalamazoo County, Michigan, 49007, United States

    BOX 74

    KALAMAZOO, MI 490075341

    Phone: (269) 341-8481

    Fax: (269) 341-7781

    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)

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: 2019-01-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20161007001484INurse PractitionerMITBD
I20190109002136INurse PractitionerINTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes25496$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 49007)

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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: 6406126572View full group profile

Reviews

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Frequently asked questions

Is JASPER MUKWADA (FNP) listed with a National Provider Identifier?
Yes — JASPER MUKWADA (FNP) has NPI 1558815787 on file in the registry.
Active or inactive — what applies to JASPER MUKWADA (FNP)?
You should see JASPER MUKWADA (FNP) as active in CMS-hosted NPPES data.
What expertise is attributed to JASPER MUKWADA (FNP)?
JASPER MUKWADA (FNP)'s specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with JASPER MUKWADA (FNP)?
Directory geography for JASPER MUKWADA (FNP) centers on Kalamazoo, Michigan.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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