Individual provider Active NPI

Irene Wanjiku Njenga

  • Psychiatric/Mental Health Nurse Practitioner
  • Tempe, AZ
National Provider Identifier
1801509245
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
288909 Issued in AZ
Practice address
1500 N Priest Dr # 109
Tempe, AZ 85288-1213
Phone
(702) 589-4871
NPI assigned
Dec 30, 2022
Last updated
Apr 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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 288909 AZ Primary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 143879 TX

Addresses

Primary practice location

1500 N Priest Dr # 109
Tempe, AZ 85288-1213

Mailing address

2683 La Jolla Blvd
Grand Prairie, TX 75054-0290
Phone (571) 502-1822

Other practice location 1

2683 La Jolla Blvd
Grand Prairie, TX 75054-0290
Phone (571) 502-1822

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240109002345 TX Practitioner - Nurse Practitioner 0941667224 Reassigns benefits to 1 organization
I20250702002804 OR Practitioner - Nurse Practitioner 0941667224 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.24 of 100Reported as group
Quality
71.1
Promoting interoperability
68
Improvement activities
40
Cost
69.7

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
143879TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC Single Specialty CurrentSince Jan 2, 2024 Accepting new patients
Behavioral Health Solutions of Arizona PLLC PastSince Apr 16, 2023 Accepting new patients

Locations

780 Commercial St SE
Ste 100
Salem, OR 97301
Phone (469) 466-7037

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1672358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1801509245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2683 LA JOLLA BLVD",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750540290",
            "telephone_number": "571-502-1822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N PRIEST DR # 109",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852881213",
            "telephone_number": "702-589-4871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2683 La Jolla Blvd",
            "address_purpose": "LOCATION",
            "city": "Grand Prairie",
            "state": "TX",
            "postal_code": "750540290",
            "country_code": "US",
            "telephone_number": "571-502-1822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NJENGA",
        "first_name": "IRENE",
        "middle_name": "WANJIKU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-30",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "288909",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "143879",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.