MUKTA GAUTAM-DHAKAL – Psychiatric/Mental Health Nurse Practitioner, NPI 1275034837
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,574 NURSE PRACTITIONER in NJ
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Provider Addresses for MUKTA GAUTAM-DHAKAL
364 WILLIAMSON ST APT C5
ELIZABETH, NJ 072023663
Phone: (201) 315-5855
Type: Mailing
203, Williamson Street, Elizabeth, Union County, New Jersey, 07202, United States
ELIZABETH, NJ 072023671
Phone: (732) 491-9597
Type: Location
240 Williamson St Ste 203
Elizabeth, NJ 072023671
Phone: (732) 491-9597
Type: Location
12359 SUNRISE VALLEY DR STE 320
RESTON, VA 201913463
Phone: (703) 596-4796
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 193 Open Payments records for all available years, with a total value of $4,591.
Total Amount is formed as General ($4,591) + Research ($0) + Ownership ($0) = $4,591.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Lundbeck LLC ($545).
Total Amount
$4,591
General + Research + Ownership
Payments
193
Total payment records
General Amount
$4,591
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lundbeck LLC | $545 |
| ITI, Inc. | $397 |
| Axsome Therapeutics, Inc. | $377 |
| ABBVIE INC. | $320 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | $291 |
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: 2023-08-18
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20180420001889 | I | Nurse Practitioner | NJ | TBD |
| I20210818000541 | I | Nurse Practitioner | DC | TBD |
| I20230818001392 | I | Nurse Practitioner | VA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 102 | 18 | $0 |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 34 | 14 | $0 |
Insurance plans in this area (ZIP 07202)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | FL | |
| Clinical Social Worker | CT | |
| Mental Health Counselor | VA | |
| Nurse Practitioner | VA | |
| Clinical Psychologist | MD | |
| P S Y C H I A T R Y | VA | |
| Mental Health Counselor | FL | |
| Clinical Psychologist | DC | |
| P S Y C H I A T R Y | AE | |
| Nurse Practitioner | VA |
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