Individual provider Active NPI

Jacinta Wangui, DNP, FNP-C, PMHNP-BC

  • Family Nurse Practitioner
  • Columbus City, IA
National Provider Identifier
1447769880
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A131289 Issued in IA
Practice address
2409 Spring St
Columbus City, IA 52737-9302
Phone
(319) 728-7400
Fax
(319) 728-7404
NPI assigned
Sep 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G182031 IA
Family Nurse Practitioner 363LF0000X A131289 IA Primary

Addresses

Primary practice location

2409 Spring St
Columbus City, IA 52737-9302

Mailing address

1706 W Agency Rd
West Burlington, IA 52655-1667

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20180907000829 IA Practitioner - Nurse Practitioner 6608126909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Iowa, RJ & L Carver College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Centers of Southeastern Iowa IncGroup PAC ID 4486562527, 24 clinicians

Practice addresses (Care Compare)

2409 Spring St
Columbus City, IA 52737-9302
Phone (319) 728-7400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
G182031IAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Evolving Ehealth LLC Family Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jwangui639093@direct.ochin.org

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": "1506556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1447769880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 W AGENCY RD",
            "city": "WEST BURLINGTON",
            "state": "IA",
            "postal_code": "526551667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 SPRING ST",
            "city": "COLUMBUS CITY",
            "state": "IA",
            "postal_code": "527379302",
            "telephone_number": "319-728-7400",
            "fax_number": "319-728-7404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANGUI",
        "first_name": "JACINTA",
        "credential": "DNP, FNP-C, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-28",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G182031",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A131289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus City, IA

Sources for this page

Verify at the official NPI Registry.