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WILSON GACHUGU NDUNGU NP
NPI 1013475599
Nurse Practitioner - Adult Health in Hazelwood, MO

Active since March 04, 2019PECOS EnrolledAccepts Medicare Assignment
4 HAZELWOOD LN, HAZELWOOD, MO 63042(314) 425-9453 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 14, 2026, Nov 5, 2020, Mar 4, 2019 (3 updates tracked since 2019).

About Wilson Gachugu Ndungu Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILSON GACHUGU NDUNGU NP (NPI 1013475599) is an individual adult health provider in Hazelwood, Missouri, licensed in Illinois (209020137) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1013475599
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameWILSON GACHUGU NDUNGUCredential: NP
Location Address4 HAZELWOOD LNHazelwood, MO 63042-2711
Mailing Address4 Hazelwood LnHazelwood, MO 63042-2711 · (314) 425-9453
Phone(314) 425-9453
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 4, 2019
Last NPPES UpdateApril 14, 20263 updates tracked since enumeration
NPPES CertifiedApril 14, 2026
✔ NPI 1013475599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Licenses✔ Licensed in IL · 209020137✔ Licensed in MO · 2019003626
Also ListedNurse PractitionerTaxonomy 363L00000X · License 2019003626 (MO)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 2019003626 (MO), 209020137 (IL)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 2019003626 (MO), 209020137 (IL)
4 HAZELWOOD LN, Hazelwood, MO 63042
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Wilson Gachugu Ndungu Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688003726
PECOS Enrollment IDI20260403000400
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63042 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wilson Ndungu's NPI number?

The NPI number for Wilson Ndungu is 1013475599. It was assigned to this individual provider in the NPPES registry on March 4, 2019.

Where is Wilson Ndungu located?

Wilson Ndungu practices at 4 Hazelwood Ln, Hazelwood, MO 63042. The listed phone number is (314) 425-9453.

What is Wilson Ndungu's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Wilson Ndungu enrolled in Medicare?

Yes. Wilson Ndungu is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Wilson Ndungu was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.