Individual provider Active NPI

Monicah Wangari Mwangi

  • Primary Care Nurse Practitioner
  • Parkland, WA
National Provider Identifier
1073246930
Registry record updated Feb 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AP61455556 Issued in WA
Practice address
105 112TH St S # 254
Parkland, WA 98444-5711
Phone
(253) 300-1671
NPI assigned
Jul 7, 2022
Last updated
Feb 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X AP61455556 WA Primary
Registered Nurse 163W00000X RN60759926 WA

Addresses

Primary practice location

105 112TH St S # 254
Parkland, WA 98444-5711

Mailing address

105 112TH St S # 254
Parkland, WA 98444-5711
Phone (425) 773-0588

Other names 1

  • Monicah Wangari Ngugi Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20231217000047 WA Practitioner - Nurse Practitioner 2668821562 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN60759926WAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Medical Center Physicians LLC CurrentSince Nov 2, 2023 Accepting new patients
Capital Medical Center Physicians LLC CurrentSince Nov 2, 2023 Accepting new patients

Locations

3920 Capital Mall Dr SW
Ste 200
Olympia, WA 98502
Phone (360) 459-7282

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770422400000",
    "number": "1073246930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 112TH ST S # 254",
            "city": "PARKLAND",
            "state": "WA",
            "postal_code": "984445711",
            "telephone_number": "425-773-0588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 112TH ST S # 254",
            "city": "PARKLAND",
            "state": "WA",
            "postal_code": "984445711",
            "telephone_number": "253-300-1671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MWANGI",
        "first_name": "MONICAH",
        "middle_name": "WANGARI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-07",
        "last_updated": "2026-02-07",
        "certification_date": "2026-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WA",
            "license": "AP61455556",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60759926",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONICAH",
            "last_name": "NGUGI",
            "middle_name": "WANGARI",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Parkland, WA

Sources for this page

Verify at the official NPI Registry.