Eclipse Health Services
NPI 1295454874ActiveOrganization· Nurse Practitioner, Adult Health· Coon Rapids, MN
Nurse Practitioner, Adult Health in Coon Rapids, Minnesota, registered in NPPES in August 2022. The authorized official on file is Zillah Kemunto Mulubisha, CNP, Clinical Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1295454874 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 25, 2022 |
| Last updated in NPPES | Jun 23, 2026 |
| Certified by provider | Jun 23, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Adult Health Primary | 363LA2200X | — | — |
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 (MN) |
|---|
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