Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Millicent M Mutisya

Individual provider Family Nurse Practitioner · NPI 1285308528

Millicent M Mutisya is a Nurse Practitioner in Fairfax, Virginia. Qualified in 2016, 10 years ago. Practices with Virginia Cancer Specialists, PC, a 79-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
10
Licensed in
VA
In the registry since
2021
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

8613 Route 29 # 200N
Fairfax, VA 22031-2171
Phone: (571) 350-8400
Fax: (703) 280-9596
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0024180473 (VA)

Record details

NPI number1285308528
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 2, 2021
Last updated in NPPESNovember 11, 2025
Certification dateNovember 11, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Virginia Cancer Specialists, P.C. — 79 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fairfax