SIMBA K MUKETIWA – Acute Care Nurse Practitioner, NPI 1407232341

SIMBA K MUKETIWA is a healthcare provider. based in Allen, Texas. specializing in NURSE PRACTITIONER. They hold a License No. AP129372 (TX). The NPI Number for SIMBA K MUKETIWA is 1407232341

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
SIMBA K MUKETIWA
NPI
1407232341
Phone
(469) 688-3437
Address
104 PARKHURST LANE
Enumeration Date
3 August 2015
Last Update Date
6 April 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9724510219
Graduation Year
2015 (11 years ago)
PAC ID
3072815570
Group Practice PAC ID
1355254210
Professional Enrollment ID
I20151230000015
Address ID
TX752461905DA3600XAVEX304

Contacts

Secure Messaging
smuketiwa226054@direct.sw.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:10State licenses:1Other namesUpdated within 12 months

22,204 NURSE PRACTITIONER in TX

Provider Addresses for SIMBA K MUKETIWA

  • 104 PARKHURST LANE

    ALLEN, TX 75013

    Phone: (469) 688-3437

    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 3 Open Payments records for all available years, with a total value of $57.

Total Amount is formed as General ($57) + Research ($0) + Ownership ($0) = $57.

Last reported payment date: 2024-02-12 • Largest payer in this snapshot: Medtronic, Inc. ($20).

Total Amount

$57

General + Research + Ownership

Payments

3

Total payment records

General Amount

$57

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-12

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: 2015-12-30

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
I20151230000015INurse PractitionerTXTBD

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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1414$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 75013)

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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: 1355254210View full group profile
NameSpecialtyState
Radiation OncologyTX
Nurse PractitionerTX
Internal MedicineTX
-TX
-TX
Clinical Social WorkerTX
-TX
Nurse PractitionerTX
Orthopedic SurgeryTX
Clinical PsychologistTX

Reviews

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Frequently asked questions

What is the 10-digit NPI for SIMBA K MUKETIWA?
SIMBA K MUKETIWA — NPI 1407232341 — is the standard way to identify this listing.
Does CMS list SIMBA K MUKETIWA as active?
Yes — SIMBA K MUKETIWA is active in the NPI listing used on this page.
What healthcare role does SIMBA K MUKETIWA hold?
Scheduling teams often label SIMBA K MUKETIWA under Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for SIMBA K MUKETIWA?
SIMBA K MUKETIWA's geographic hint is Allen, Texas in our summary view.
Why does SIMBA K MUKETIWA have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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