Active NPI
Marion Nyaguthii Nganga
- Family Nurse Practitioner
- Goshen, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71014560A
- Practice address
- 808 N 3Rd St
Goshen, IN 46528-7100 - Phone
- (574) 534-0088
- NPI assigned
- Sep 14, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 28195276A | IN | |
| Family Nurse Practitioner | 363LF0000X | 71014560A | IN | Primary |
Addresses
Primary practice location
808 N 3Rd St
Goshen, IN 46528-7100
Mailing address
29363 Raintree CT
Elkhart, IN 46517-9008
Phone (574) 612-8504
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
150 W Market St
Suite 400
Indianapolis, IN 46204-2810
Phone (855) 743-2247
8398 Mississippi St
FL 2
Merrillville, IN 46410-6316
Phone (855) 743-2247
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28195276A | IN | MD | General Practice Registered Nurse |
| 71014560A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eventus Wholehealth Midwest Inc | Current | Accepting new patients | |
| Eventus Ecs - Kentucky, PLLC | Current | Accepting new patients | |
| Extended Care Specialists, Inc | Family | Current | Accepting new patients |
| Eventus WH Midwest Care, LLC | Current | Accepting new patients | |
| Eventus Ecs, Inc | Current | Accepting new patients |
Locations
2100 Midway St
Columbus, IN 47201
Phone 3178181240225
3512 Stellhorn Rd
Fort Wayne, IN 46815
150 W Market St
Ste 400
Indianapolis, IN 46204
3815 River Crossing Pkwy
Ste 100
Indianapolis, IN 46240
Phone (317) 218-3479
8398 Mississippi St
Fl 2
Merrillville, IN 46410
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.
-
- Nurse Practitioner
- Indianapolis, IN
- NPI 1073353496
-
- Family Medicine Physician
- Columbus, IN
- NPI 1386252757
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Bremen, IN
- NPI 1568417004
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705017600000",
"number": "1912785643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29363 RAINTREE CT",
"city": "ELKHART",
"state": "IN",
"postal_code": "465179008",
"telephone_number": "574-612-8504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "808 N 3RD ST",
"city": "GOSHEN",
"state": "IN",
"postal_code": "465287100",
"telephone_number": "574-534-0088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGANGA",
"first_name": "MARION",
"middle_name": "NYAGUTHII",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-14",
"last_updated": "2024-01-12",
"certification_date": "2024-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "IN",
"license": "28195276A",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71014560A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goshen, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.