MR. GEOFFREY MUTISYA MUTHAMI (CRNP) – General Practice Physician, NPI 1679059489

MR. GEOFFREY MUTISYA MUTHAMI (CRNP) is a healthcare provider. based in Shippensburg, Pennsylvania. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. SP018926 (PA). The NPI Number for MR. GEOFFREY MUTISYA MUTHAMI (CRNP) is 1679059489

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
MR. GEOFFREY MUTISYA MUTHAMI (CRNP)
NPI
1679059489
Phone
(717) 729-0806
Address
10498 MAPLETON RD
Enumeration Date
15 July 2018
Last Update Date
9 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8888299974
Graduation Year
2018 (8 years ago)
PAC ID
4486907862
Group Practice PAC ID
8325478662
Professional Enrollment ID
I20181101001033
Address ID
PA172579302SH601XXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

11,473 NURSE PRACTITIONER in PA

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Provider Addresses for MR. GEOFFREY MUTISYA MUTHAMI (CRNP)

  • 10498 MAPLETON RD

    SHIPPENSBURG, PA 172579026

    Phone: (717) 729-0806

    Type: Mailing

  • 1020, North Union Street, Middletown, Dauphin County, Pennsylvania, 17057, United States

    MIDDLETOWN, PA 170572158

    Phone: (717) 930-1200

    Type: Location

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: 2018-11-01

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
I20181101001033INurse 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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes1,093268$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes777237$0
99315Nursing facility discharge day management, 30 minutes or less6662$0
99307Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes4336$0
99347Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes3723$0
View full utilization report →

Insurance plans in this area (ZIP 17257)

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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: 8325478662View full group profile
NameSpecialtyState
P S Y C H I A T R YPA
-PA
P S Y C H I A T R YPA
P S Y C H I A T R YIA
P S Y C H I A T R YPA
P S Y C H I A T R YPA
P S Y C H I A T R YPA
P S Y C H I A T R YPA
P S Y C H I A T R YPA
Interventional Pain Management, Osteopathic Manipulative Medicine, Family Practice, General Practice, Pain ManagementPA

Reviews

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Frequently asked questions

Can I cross-check MR. GEOFFREY MUTISYA MUTHAMI (CRNP) using NPI 1679059489?
NPI 1679059489 belongs to MR. GEOFFREY MUTISYA MUTHAMI (CRNP); compare other details if you need extra assurance.
Would MR. GEOFFREY MUTISYA MUTHAMI (CRNP) appear as active to a payer?
You can treat MR. GEOFFREY MUTISYA MUTHAMI (CRNP) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to MR. GEOFFREY MUTISYA MUTHAMI (CRNP)?
MR. GEOFFREY MUTISYA MUTHAMI (CRNP)'s specialty line reads General Practice Physician. Clinical services aligned with this taxonomy classification.
Is MR. GEOFFREY MUTISYA MUTHAMI (CRNP) located near Shippensburg?
MR. GEOFFREY MUTISYA MUTHAMI (CRNP) currently maps to Shippensburg, Pennsylvania in this extract.
When was this NPI issued?
Enumeration for MR. GEOFFREY MUTISYA MUTHAMI (CRNP) is noted as July 15, 2018 where the registry provides it.

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