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MR. CHARLES NJUGUNA WAINAINA FNP-C
NPI 1063177343
Nurse Practitioner - Family in Plano, TX

Active since November 02, 2021PECOS EnrolledAccepts Medicare Assignment
7709 SAN JACINTO PL STE 100, PLANO, TX 75024(469) 406-4245 Get Directions Write a Review

NPPES record last updated: November 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Charles Njuguna Wainaina Fnp-c NPPES

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

MR. CHARLES NJUGUNA WAINAINA FNP-C (NPI 1063177343) is an individual family provider in Plano, Texas, licensed in Texas (1057305) and active in the NPI registry since November 2021. He is enrolled in Medicare PECOS, is affiliated with Medical Center Of Mckinney, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1063177343
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. CHARLES NJUGUNA WAINAINACredential: FNP-C
Location Address7709 SAN JACINTO PL STE 100Plano, TX 75024-3369
Mailing Address1810 Burl LnAnna, TX 75409-4651 · (469) 955-0391
Phone(469) 406-4245
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 2, 2021
NPPES CertifiedNovember 2, 2021
✔ NPI 1063177343 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
License✔ Licensed in TX · 1057305
7709 SAN JACINTO PL STE 100, Plano, TX 75024
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Mr. Charles Njuguna Wainaina Fnp-c 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 ID8123415684
PECOS Enrollment IDI20220503000147
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 4

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 hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
1,961 services483 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
569 services488 patients
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.
218 services40 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.
18 services18 patients

Hospital Affiliations CMS Care Compare 4

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

Medical Center Of Mckinney

Acute Care Hospitals · Mckinney, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450403
Location4500 Medical Center DriveMckinney, TX 75069 · Collin County
Emergency services Birthing friendly

Methodist Richardson Medical Center

Acute Care Hospitals · Richardson, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450537
Location2831 E President George Bush HighwayRichardson, TX 75082 · Collin County
Emergency services Birthing friendly

Medical City Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450651
Location3901 W 15th StPlano, TX 75075 · Collin County
Emergency services Birthing friendly

Texas Health Presbyterian Hospital Allen

Acute Care Hospitals · Allen, TX
4/5 CMS rating
OwnershipGovernment - Federal
CMS Certification Number450840
Location1105 Central Expressway NorthAllen, TX 75013 · Collin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75024 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 5

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

ADVANCE WOUND CARE & HYPERBARIC SPECIALISTS OF TEXAS
Registered Nurse (Wound Care)
7709 SAN JACINTO PL STE 100
PLANO, TX 75024
Collin County (469) 733-3304
SAGUN NEPAL
Nurse Practitioner (Family)
7709 SAN JACINTO PL STE 100
PLANO, TX 75024
Collin County (972) 491-1200
DOLLY SUSAN VARGHESE
Nurse Practitioner
7709 SAN JACINTO PL STE 100
PLANO, TX 75024
Collin County (469) 406-4245
DR. HINA RIZVI MD
Family Medicine
7709 SAN JACINTO PL STE 100
PLANO, TX 75024
Collin County (469) 406-4245
MRS. SOPA MAHABOONPACHAI APRN/FNP-C
Nurse Practitioner (Family)
7709 SAN JACINTO PL STE 100
PLANO, TX 75024
Collin County (972) 491-1200

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 Charles Wainaina's NPI number?

The NPI number for Charles Wainaina is 1063177343. It was assigned to this individual provider in the NPPES registry on November 2, 2021.

Where is Charles Wainaina located?

Charles Wainaina practices at 7709 San Jacinto Pl Ste 100, Plano, TX 75024. The listed phone number is (469) 406-4245.

What is Charles Wainaina's specialty?

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

Is Charles Wainaina enrolled in Medicare?

Yes. Charles Wainaina 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 Charles Wainaina accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 3 other insurers list Charles Wainaina 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 Charles Wainaina affiliated with any hospitals?

According to CMS data, Charles Wainaina is affiliated with Medical Center Of Mckinney, Methodist Richardson Medical Center, Medical City Plano and Texas Health Presbyterian Hospital Allen.

When was this NPI record last updated?

The NPPES record for Charles Wainaina was last updated on November 2, 2021. 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.