Boniface Ndungu Gitau, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

53-79184 Issued in KS

Practice address

2504 Ashford Dr
Clovis, NM 88101-4436

Phone

(316) 768-7991

NPI assigned

Jan 12, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KS, NM2 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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Pawnee Mental Health Service Inc 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Pawnee Mental Health Service, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Manhattan, KS
  • NPI 1275580524

  KS, Single Specialty

  Medicare reassignment Care Compare group NPD
• Garden of Hope Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Clovis, NM
  • NPI 1437896644

  KS

  Medicare reassignment Authorized official
• Next Step Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Clovis, NM
  • NPI 1427790989

  NM, Single Specialty

  Medicare reassignment NPD
• Pawnee Mental Health Service, Inc.

  • Primary Care Clinic/Center
  • Manhattan, KS
  • NPI 1356139158
  NPD

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

{
    "created_epoch": "1578787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1023658663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 ASHFORD DR",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881014436",
            "telephone_number": "316-768-7991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 ASHFORD DR",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881014436",
            "telephone_number": "316-768-7991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GITAU",
        "first_name": "BONIFACE",
        "middle_name": "NDUNGU",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-12",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "53-79184-112",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "53-79184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gibson Family Pharmacy PC
• Hailey Gibson
• Shem Gichuhi, PHARMD
• Francesca M Gillespie, LCSW
• Marsha Ann Gilliland
• Lacey L Gleaton, PROGRAM COORD
• Stacy Dawn Crum Gleaton, LMSW
• Glu Factory, Inc
• Clara Godwin
• Marvin Dwight Godwin

• All providers in Clovis, NM
• Psychiatric/Mental Health Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.