Individual provider Active NPI

Steve Nwanguma, FNP-BC

  • Family Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1679355408
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5019327 Issued in NC
Practice address
3372 Six Forks Rd
Raleigh, NC 27609-7233
Phone
(618) 203-1325
NPI assigned
Oct 17, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5019327 NC Primary

Addresses

Primary practice location

3372 Six Forks Rd
Raleigh, NC 27609-7233

Mailing address

3372 Six Forks Rd
Raleigh, NC 27609-7233

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
I20240910000856 NC Practitioner - Nurse Practitioner 1456891092 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3372 Six Forks Rd
Raleigh, NC 27609-7200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5019327NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Raleigh Associated Medical Specialists Inc CurrentSince Jul 25, 2024 Accepting new patients
Kog Integrated Healthcare CurrentSince Feb 1, 2026 Accepting new patients

Locations

810 Elm St
Fayetteville, NC 28303
Phone (910) 321-0356

3372 Six Forks Rd
Raleigh, NC 27609
Phone (919) 322-2035

Interoperability endpoints

  • Direct secure messaging: steve.nwanguma.1@32992.direct.athenahealth.com

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": "1697500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1679355408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3372 SIX FORKS RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3372 SIX FORKS RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097233",
            "telephone_number": "618-203-1325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWANGUMA",
        "first_name": "STEVE",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-17",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5019327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.