Individual provider Active NPI

Charity Wambui Nyuguto, FNPC

  • Family Nurse Practitioner
  • Swansea, IL
National Provider Identifier
1013663160
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209025112 Issued in IL
Practice address
15 Park PL
Swansea, IL 62226-2918
Phone
(618) 257-0780
Fax
(618) 234-7242
NPI assigned
Feb 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209025112 IL Primary
Family Nurse Practitioner 363LF0000X 2012013378 MO

Addresses

Primary practice location

15 Park PL
Swansea, IL 62226-2918

Mailing address

15 Park PL
Swansea, IL 62226-2918
Phone (618) 257-0780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220821000011 IL Practitioner - Nurse Practitioner 5092198259 Reassigns benefits to 1 organization
I20240229002348 MO Practitioner - Nurse Practitioner 5092198259 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tapestry Telehealth PLLCGroup PAC ID 4789942335, 80 clinicians
Adult Internal Medicine Practice LLCGroup PAC ID 9638244494, 3 clinicians
Emerald Fern Wellness PCGroup PAC ID 8729592084, 7 clinicians

Practice addresses (Care Compare)

100 Chesterfield Bus Pkwy
FL 2
Chesterfield, MO 63005-1271
Phone (203) 666-8145

15 Park PL
Swansea, IL 62226-2918
Phone (618) 257-0780

3625 Magnolia Ave
Saint Louis, MO 63110-4048
Phone (618) 580-1359

7280 NW 87TH Ter
Suite C 210
Kansas City, MO 64153-3720
Phone (203) 666-8145

Hospital & facility affiliations

  • Touchette Regional Hospital Inc Hospital, Centreville, IL, CCN 140077
  • St Joseph'S Hospital Hospital, Highland, IL, CCN 141336

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2012013378MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Topaz Bay Senior Health PC CurrentSince Feb 3, 2026 Accepting new patients
Tapestry Telehealth PLLC CurrentSince Jan 26, 2026 Accepting new patients
Adult Internal Medicine Practice LLC CurrentSince Apr 12, 2022 Accepting new patients
Figure 8 Integrative Health & Wellness LLC Family Current Accepting new patients

Locations

15 Park Pl
Swansea, IL 62226
Phone (618) 233-9729

15 Park Pl
Ste 101
Swansea, IL 62226

100 Chesterfield Business Pkwy
Fl 2
Chesterfield, MO 63005
Phone (314) 355-8585

1415 W White Oak St
Independence, MO 64050
Phone (800) 982-2669

3625 Magnolia Ave
Saint Louis, MO 63110
Phone (314) 771-2990

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1013663160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 PARK PL",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262918",
            "telephone_number": "618-257-0780",
            "fax_number": "618-234-7242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 PARK PL",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262918",
            "telephone_number": "618-257-0780",
            "fax_number": "618-234-7242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYUGUTO",
        "first_name": "CHARITY",
        "middle_name": "WAMBUI",
        "name_prefix": "Mrs.",
        "credential": "FNPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-28",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209025112",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2012013378",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swansea, IL

Sources for this page

Verify at the official NPI Registry.