Individual provider Active NPI

Josephine Mwithi Wambua, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Fayetteville, NC
National Provider Identifier
1144838517
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5018171 Issued in NC
Practice address
522 Owen Dr
Fayetteville, NC 28304-3432
Phone
(910) 484-7183
NPI assigned
Jul 21, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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 5018171 NC Primary

Addresses

Primary practice location

522 Owen Dr
Fayetteville, NC 28304-3432

Mailing address

522 Owen Dr
Fayetteville, NC 28304-3432

Other names 1

  • Josephine Kariuki Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20230731002096 NC Practitioner - Nurse Practitioner 2567823016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.46 of 100Reported as group
Quality
80.45
Improvement activities
40
Cost
87.37

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Mills Urgent Care & Medical Clinic, PLLC CurrentSince Sep 11, 2024 Accepting new patients
Charlotte Fitness and Wellness Center PLLC CurrentSince May 2, 2026 Accepting new patients

Locations

3626 Latrobe Dr
Ste 300
Charlotte, NC 28211
Phone (704) 993-7388

2216 W Meadowview Rd
Greensboro, NC 27407
Phone (336) 554-5897

3758 S Main St
Hope Mills, NC 28348
Phone (910) 429-0647

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DAGACD/Endpoint/DAGACD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1144838517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 OWEN DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 OWEN DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043432",
            "telephone_number": "910-484-7183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAMBUA",
        "first_name": "JOSEPHINE",
        "middle_name": "MWITHI",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-21",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5018171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSEPHINE",
            "last_name": "KARIUKI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.