Individual provider Active NPI

Caroline Wanjiku Ngugi

  • Family Nurse Practitioner
  • Galveston, TX
National Provider Identifier
1144858259
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP144960 Issued in TX
Practice address
400 Harborside Dr
Galveston, TX 77555-0001
Phone
(409) 772-3373
Fax
(409) 747-7014
NPI assigned
Apr 1, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP144960 TX
Family Nurse Practitioner 363LF0000X AP144960 TX Primary

Addresses

Primary practice location

400 Harborside Dr
Galveston, TX 77555-0001

Mailing address

4919 Quiet Canyon Dr
Friendswood, TX 77546-6117
Phone (281) 772-9749

Other practice location 1

4919 Quiet Canyon Dr
Friendswood, TX 77546-6117
Phone (281) 772-9749 ext. 28177

Other practice location 2

8030 Fm 1765 Ste C-102
Texas City, TX 77591-3689
Phone (409) 515-3915

Other identifiers 1

IdentifierTypeStateIssuer
AP144960OtherTXADVANCE PRACTISE LICENSE NUMBER

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
I20201013002829 TX Practitioner - Nurse Practitioner 8022438050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Texas Medical Branch at Galveston, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Utmb Faculty Group PracticeGroup PAC ID 3375456734, 1,083 clinicians

Practice addresses (Care Compare)

400 Harborside Dr
Galveston, TX 77555-0001
Phone (409) 772-2222

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.88 of 100Reported as group
Quality
73.38
Improvement activities
40
Cost
78.42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP144960TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Utmb Faculty Group Practice CurrentSince Jan 26, 2024 Accepting new patients

Locations

1005 Harborside Dr
Fl 6
Galveston, TX 77555

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

Interoperability endpoints

  • Direct secure messaging: cnguginp4177@direct.utmb.edu

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 1

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": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1144858259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4919 QUIET CANYON DR",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775466117",
            "telephone_number": "281-772-9749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HARBORSIDE DR",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775550001",
            "telephone_number": "409-772-3373",
            "fax_number": "409-747-7014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4919 Quiet Canyon Dr",
            "address_purpose": "LOCATION",
            "city": "Friendswood",
            "state": "TX",
            "postal_code": "775466117",
            "country_code": "US",
            "telephone_number": "281-772-9749 x28177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8030 Fm 1765 Ste C-102",
            "address_purpose": "LOCATION",
            "city": "Texas City",
            "state": "TX",
            "postal_code": "775913689",
            "country_code": "US",
            "telephone_number": "409-515-3915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUGI",
        "first_name": "CAROLINE",
        "middle_name": "WANJIKU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-01",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP144960",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP144960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCE PRACTISE LICENSE NUMBER",
            "identifier": "AP144960",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Galveston, TX

Sources for this page

Verify at the official NPI Registry.