FAITH MUTALE (CRNP) – Nurse Practitioner, NPI 1003964586

FAITH MUTALE (CRNP) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. SP008515 (PA). The NPI Number for FAITH MUTALE (CRNP) is 1003964586

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
FAITH MUTALE (CRNP)
NPI
1003964586
Phone
Not provided
Address
3400 SPRUCE ST
Enumeration Date
8 January 2007
Last Update Date
15 March 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1996 (30 years ago)
PAC ID
8527140409
Group Practice PAC ID
6204730955
Professional Enrollment ID
I20080131000049
Address ID
PA191045127PH3400XBLVD400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

11,469 NURSE PRACTITIONER in PA

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Provider Addresses for FAITH MUTALE (CRNP)

  • Hospital of the University of Pennsylvania, 3400, Spruce Street, University City, Philadelphia, Philadelphia County, Pennsylvania, 19104, United States of America

    15 PENN TOWER

    PHILADELPHIA, PA 191044206

    Phone:

    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)

CMS reports 72 Open Payments records for all available years, with a total value of $30,679.

Total Amount is formed as General ($30,679) + Research ($0) + Ownership ($0) = $30,679.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($26,211).

Total Amount

$30,679

General + Research + Ownership

Payments

72

Total payment records

General Amount

$30,679

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

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: 2008-01-31

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
I20080131000049INurse PractitionerPATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes19061$0
99215Established patient office or other outpatient visit, 40-54 minutes2820$0
99213Established patient office or other outpatient visit, 20-29 minutes1511$0
View full utilization report →

Insurance plans in this area (ZIP 19104)

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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: 6204730955View full group profile
NameSpecialtyState
-PA
Pulmonary DiseasePA
Critical Care (Intensivists), Internal Medicine, Pulmonary DiseasePA
Nurse PractitionerPA
-PA
-PA
Emergency MedicinePA
Nurse PractitionerPA
O B S T E T R I C S/ G Y N E C O L O G YPA
-PA

Reviews

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Frequently asked questions

What NPI should I save for FAITH MUTALE (CRNP)?
Save NPI 1003964586 if you need a stable reference for FAITH MUTALE (CRNP).
Does this profile mean FAITH MUTALE (CRNP) is currently active?
Yes — FAITH MUTALE (CRNP) appears active in the national provider directory.
What does FAITH MUTALE (CRNP) treat or focus on?
Patients typically see FAITH MUTALE (CRNP) under the specialty Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place FAITH MUTALE (CRNP)?
The snapshot lists Philadelphia, Pennsylvania for FAITH MUTALE (CRNP); download NPPES for the complete set.
What if Philadelphia, Pennsylvania seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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