Mind Shift Wellness Clinic LLC
NPI 1063351815ActiveOrganization· Nurse Practitioner· Milford, MA
Nurse Practitioner in Milford, Massachusetts, registered in NPPES in March 2026. The authorized official on file is Kenneth Mutegyeki, PMHNP-BC, Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1063351815 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 26, 2026 |
| Last updated in NPPES | Mar 26, 2026 |
| Certified by provider | Mar 26, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
| Counselor, Mental Health | 101YM0800X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MA) |
|---|
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