Active NPI
Caroline N Mbugua
- Gerontology Nurse Practitioner
- Newark, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- LP-0010658
- Practice address
- 4 Peddlers Row Unit 391
Newark, DE 19702-1525 - Phone
- (617) 365-2164
- NPI assigned
- Nov 21, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | LP-0010658 | DE | Primary |
Addresses
Primary practice location
4 Peddlers Row Unit 391
Newark, DE 19702-1525
Mailing address
157 Tuckahoe LN
Newark, DE 19702
Phone (617) 365-2164
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 E Village Rd
Newark, DE 19713-3845
Phone (302) 366-8100
255 Possum Park Rd
Newark, DE 19711-3877
Phone (302) 366-0160
700 Foulk Rd
Wilmington, DE 19803-3708
Phone (302) 764-0181
810 S Broom St
Wilmington, DE 19805-4245
Phone (302) 652-1181
924 Barksdale Rd
Newark, DE 19711-3213
Phone (302) 455-7979
Hospital & facility affiliations
- Christiana Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP-0010658 | DE | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delaware Post Acute Medical Services 1 | Current | Accepting new patients | |
| Geriatric Medicine Consultants PA | Current | Accepting new patients | |
| CS Pacs 3 Northeast, LLC | Current | Accepting new patients | |
| Kisima Healthcare LLC | Gerontology | Current | Accepting new patients |
| De Pacs 2 PA | Current | Accepting new patients |
Locations
4 Peddlers Row
Newark, DE 19702
Phone (302) 310-7998
810 S Broom St
Wilmington, DE 19805
Phone (302) 234-5420
1601 Milltown Rd
Ste 2
Wilmington, DE 19808
Phone (302) 463-6542
700 Foulk Rd
Wilmington, DE 19803
Phone (302) 328-1582
Organizations & group practices 5
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.
-
- Hospitalist Physician
- Hockessin, DE
- NPI 1457837981
-
- Hospitalist Physician
- Wilmington, DE
- NPI 1801325717
-
- Gerontology Nurse Practitioner
- Bear, DE
- NPI 1801755988
-
- Internal Medicine Physician
- Greenville, DE
- NPI 1598031643
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wilmington, DE
- NPI 1134194038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766361600000",
"number": "1174398945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "157 TUCKAHOE LN",
"city": "NEWARK",
"state": "DE",
"postal_code": "19702",
"telephone_number": "617-365-2164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 PEDDLERS ROW UNIT 391",
"city": "NEWARK",
"state": "DE",
"postal_code": "197021525",
"telephone_number": "617-365-2164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MBUGUA",
"first_name": "CAROLINE",
"middle_name": "N",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-21",
"last_updated": "2025-12-22",
"certification_date": "2025-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "DE",
"license": "LP-0010658",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; 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.