Individual provider Active NPI

Monicah Kagungo, FNP

  • Family Nurse Practitioner
  • Groton, MA
National Provider Identifier
1821373887
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN277013 Issued in MA
Practice address
22 Hillside Ave
Groton, MA 01450-1284
Phone
(978) 448-3388
Fax
(978) 448-9979
NPI assigned
Oct 20, 2011
Last updated
Dec 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 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 RN277013 MA Primary

Addresses

Primary practice location

22 Hillside Ave
Groton, MA 01450-1284

Mailing address

217 Sutton St
North Andover, MA 01845-1639
Phone (781) 583-1355

Other practice location 1

217 Sutton St
North Andover, MA 01845-1639
Phone (781) 583-1355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20240807002913 MA Practitioner - Nurse Practitioner 9931441292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

North Andover, MA 01845
Phone (781) 583-1355

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Care Nursing Inc. CurrentSince Aug 1, 2024 Accepting new patients
Seven Hills Extended Care at Groton, Inc. Current Accepting new patients
Comprehensive Primary Allcare Inc. Family CurrentSince Aug 1, 2024 Accepting new patients

Locations

22 Hillside Ave
Groton, MA 01450
Phone (978) 448-3388

49 Blanchard St
Ste 2057
Lawrence, MA 01843
Phone (781) 583-1355

217 Sutton St
North Andover, MA 01845
Phone (978) 655-5349

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BBEFDD/Endpoint/BBEFDD

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1319068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1821373887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 SUTTON ST",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018451639",
            "telephone_number": "781-583-1355",
            "fax_number": "781-358-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 HILLSIDE AVE",
            "city": "GROTON",
            "state": "MA",
            "postal_code": "014501284",
            "telephone_number": "978-448-3388",
            "fax_number": "978-448-9979"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "217 Sutton St",
            "address_purpose": "LOCATION",
            "city": "North Andover",
            "state": "MA",
            "postal_code": "018451639",
            "country_code": "US",
            "telephone_number": "781-583-1355",
            "fax_number": "781-358-0770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAGUNGO",
        "first_name": "MONICAH",
        "name_prefix": "Miss",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-20",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN277013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Groton, MA

Sources for this page

Verify at the official NPI Registry.