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MRS. CHARITY WAMBUI NYUGUTO FNPC
NPI 1013663160
Nurse Practitioner - Family in Swansea, IL

Active since February 28, 2022PECOS EnrolledAccepts Medicare Assignment
15 PARK PL, SWANSEA, IL 62226(618) 257-0780(618) 234-7242 Get Directions Write a Review

NPPES record last updated: July 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 28, 2022, Feb 28, 2022 (2 updates tracked since 2022).

About Mrs. Charity Wambui Nyuguto Fnpc NPPES

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

MRS. CHARITY WAMBUI NYUGUTO FNPC (NPI 1013663160) is an individual family provider in Swansea, Illinois, licensed in Illinois (209025112) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS, is affiliated with Touchette Regional Hospital Inc, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1013663160
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. CHARITY WAMBUI NYUGUTOCredential: FNPC
Location Address15 PARK PLSwansea, IL 62226-2918
Mailing Address15 Park PlSwansea, IL 62226-2918 · (618) 257-0780 · Fax (618) 234-7242
Phone(618) 257-0780
Fax(618) 234-7242
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 28, 2022
Last NPPES UpdateJuly 28, 20222 updates tracked since enumeration
NPPES CertifiedJuly 28, 2022
✔ NPI 1013663160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in IL · 209025112✔ Licensed in MO · 2012013378
15 PARK PL, Swansea, IL 62226
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Mrs. Charity Wambui Nyuguto Fnpc 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 ID5092198259
PECOS Enrollment IDI20220821000011, I20240229002348
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.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
719 services296 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
178 services120 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
110 services101 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
109 services71 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
48 services31 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
40 services40 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Touchette Regional Hospital Inc

Acute Care Hospitals · Centreville, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number140077
Location5900 Bond AvenueCentreville, IL 62207 · St. Clair County
Emergency services

St Joseph's Hospital

Critical Access Hospitals · Highland, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number141336
Location12866 Troxler AvenueHighland, IL 62249 · Madison County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62226 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ADULT INTERNAL MEDICINE PRACTICE LLC
Internal Medicine
15 PARK PL
SWANSEA, IL 62226
St. Clair County (618) 257-0780
BELLEVILLE IMAGING, INC.
Clinic/Center (Radiology, Mammography)
15 PARK PL
SWANSEA, IL 62226
St. Clair County (618) 233-9729
DR. CLARA AMPADU FNP-C
Nurse Practitioner (Family)
15 PARK PL
SWANSEA, IL 62226
St. Clair County (618) 580-1359
DR. CHARLES W AMPADU MD
Internal Medicine
15 PARK PL
SWANSEA, IL 62226
St. Clair County (618) 257-0780

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 Charity Nyuguto's NPI number?

The NPI number for Charity Nyuguto is 1013663160. It was assigned to this individual provider in the NPPES registry on February 28, 2022.

Where is Charity Nyuguto located?

Charity Nyuguto practices at 15 Park Pl, Swansea, IL 62226. The listed phone number is (618) 257-0780.

What is Charity Nyuguto's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Charity Nyuguto enrolled in Medicare?

Yes. Charity Nyuguto 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.

What insurance does Charity Nyuguto accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Charity Nyuguto as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Charity Nyuguto affiliated with any hospitals?

According to CMS data, Charity Nyuguto is affiliated with Touchette Regional Hospital Inc and St Joseph's Hospital.

When was this NPI record last updated?

The NPPES record for Charity Nyuguto was last updated on July 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.