Annastecia Mbagwu

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F359223 Issued in NY

Practice address

1 Summit Ave FL 3
White Plains, NY 10606-3003

Phone

(347) 499-2400

NPI assigned

Mar 16, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1521158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1194228080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SUMMIT AVE FL 3",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106063003",
            "telephone_number": "347-499-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SUMMIT AVE FL 3",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106063003",
            "telephone_number": "347-499-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBAGWU",
        "first_name": "ANNASTECIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-16",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F359223",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "330409-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mayfield Medical Group LLC
• Vicki Donna Mayo
• Sofia Mazza, M.S. CCC-SLP
• Jeannine Mazzarell
• Paola Mazzoni, M.D.
• Tynesa McArthur
• Sophia L. McBean, N.P.
• Thomas Patrick McCaffrey, PT
• Rose-Ann McCall, NP
• Amy M McCandless, M.S./OTR/L

• Family Nurse Practitioner in White Plains, NY
• Providers in White Plains, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.