Individual provider Active NPI

Charles Njuguna Wainaina, FNP-C

  • Family Nurse Practitioner
  • Plano, TX
National Provider Identifier
1063177343
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1057305 Issued in TX
Practice address
7709 San Jacinto PL Ste 100
Plano, TX 75024-3369
Phone
(469) 406-4245
NPI assigned
Nov 2, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1057305 TX Primary

Addresses

Primary practice location

7709 San Jacinto PL Ste 100
Plano, TX 75024-3369

Mailing address

1810 Burl LN
Anna, TX 75409-4651
Phone (469) 955-0391

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220503000147 TX Practitioner - Nurse Practitioner 8123415684 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advance Wound Care and Hyperbaric Specialists of TexasGroup PAC ID 4981865888, 6 clinicians

Practice addresses (Care Compare)

7709 San Jacinto PL
Suite 100
Plano, TX 75024-3369
Phone (469) 406-4225

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.43 of 100Reported as group
Quality
100
Improvement activities
40
Cost
38.12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1057305TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Wound Care & Hyperbaric Specialists of Texas CurrentSince Jan 1, 2022 Accepting new patients

Locations

7709 San Jacinto Pl
Ste 100
Plano, TX 75024
Phone (469) 406-4225

5960 W Parker Rd
Ste 278323
Plano, TX 75093

Organizations & group practices 1

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 6

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": "1635811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1063177343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 BURL LN",
            "city": "ANNA",
            "state": "TX",
            "postal_code": "754094651",
            "telephone_number": "469-955-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7709 SAN JACINTO PL STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243369",
            "telephone_number": "469-406-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAINAINA",
        "first_name": "CHARLES",
        "middle_name": "NJUGUNA",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-02",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1057305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.