Individual provider Active NPI

Caroline Wambui Mbugua, FNP-BC

  • Family Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1265139281
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5017667 Issued in NC
Practice address
6824 Harrisburg Rd
Charlotte, NC 28227-3389
Phone
(704) 870-6014
NPI assigned
Feb 9, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 185574 NC
Family Nurse Practitioner 363LF0000X 5017667 NC Primary

Addresses

Primary practice location

6824 Harrisburg Rd
Charlotte, NC 28227-3389

Mailing address

PO Box 746724
Atlanta, GA 30374-6724
Phone (773) 644-3941

Other practice location 1

101 Cabarrus Ave E Ste 200
Concord, NC 28025-3781
Phone (855) 743-2247

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
I20230301002565 NC Practitioner - Nurse Practitioner 2567835168 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

101 Cabarrus Ave E
Suite 200
Concord, NC 28025-3781

500 W Madison St FL
Suite 10
Chicago, IL 60661-2559

5221 Paramount Pkwy
Suite 220
Morrisville, NC 27560-4704

5221 Paramount Pkwy
Suite 220
Morrisville, NC 27560-5490

807 United CT
Aberdeen, MD 21001-1291

8962 Longue Vue Blvd
Daphne, AL 36526-6281

PO Box
Atlanta, GA 30374

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5017667NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eventus Wholehealth Aco LLC CurrentSince Aug 1, 2024 Accepting new patients
Unc Physicians Network LLC CurrentSince Apr 28, 2025 Accepting new patients
Hopscotch Primary Care, PLLC CurrentSince Mar 1, 2026 Accepting new patients
Unc Physicians Network LLC Current Accepting new patients
Raleigh Durham Medical Group PA Past Accepting new patients

Locations

58 Blue Ridge Ln
Burnsville, NC 28714
Phone (828) 682-7333

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

618 S Pierce St
#102
Eden, NC 27288
Phone (336) 627-5178

5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110

160 Mine Lake Ct
#200
Raleigh, NC 27615
Phone (404) 805-4288

88 Hospital Dr
Spruce Pine, NC 28777
Phone (817) 966-0621

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.

NPI Registry JSON

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

{
    "created_epoch": "1675900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1265139281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746724",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746724",
            "telephone_number": "773-644-3941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6824 HARRISBURG RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282273389",
            "telephone_number": "704-870-6014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Cabarrus Ave E Ste 200",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280253781",
            "country_code": "US",
            "telephone_number": "855-743-2247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MBUGUA",
        "first_name": "CAROLINE",
        "middle_name": "WAMBUI",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-09",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "185574",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5017667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.