MRS. NELLY O WOLUGBOMS FNP-BC
NPI 1073807632
Nurse Practitioner - Family in Madison, TN
About Mrs. Nelly O Wolugboms Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. NELLY O WOLUGBOMS FNP-BC (NPI 1073807632) is an individual family provider in Madison, Tennessee, licensed in Tennessee (APRN0000015556) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Nelly O Wolugboms Fnp-bc 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.
Medicare Billing Reassignments
2Medicare enrollment records show Nelly Wolugboms reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Madison, TN 37115
- Reassigned Medicare billing, Tennessee enrollment
- 63 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Tennessee enrollment
- 528 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 37115 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Nelly Wolugboms's NPI number?
The NPI number for Nelly Wolugboms is 1073807632. It was assigned to this individual provider in the NPPES registry on June 1, 2011. The provider is also known as Ms. Nelly Oghosomi Itsuoko.
Where is Nelly Wolugboms located?
Nelly Wolugboms practices at 601 W Due West Ave, Madison, TN 37115. The listed phone number is (615) 227-3000.
What is Nelly Wolugboms's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Nelly Wolugboms enrolled in Medicare?
Yes. Nelly Wolugboms 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.
Which organizations bill Medicare for Nelly Wolugboms's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nelly Wolugboms reassigns Medicare benefits to 2 organizations: United Neighborhood Health Services, Inc (Madison, TN) and Signify Health Medical Associates, PLLC (Dallas, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nelly Wolugboms's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nelly Wolugboms accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 3 other insurers list Nelly Wolugboms 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.
When was this NPI record last updated?
The NPPES record for Nelly Wolugboms was last updated on July 16, 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.
# Mrs. Nelly O Wolugboms, FNP-BC · NPI 1073807632
Family physician in Madison, Tennessee. Individual provider, active in the CMS NPPES registry since June 1, 2011.
## Identity
- **NPI:** 1073807632 (Entity type: Individual)
- **Enumerated:** June 1, 2011
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APRN0000015556 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 601 W DUE WEST AVE, Madison, TN 37115-4423
- **Phone:** (615) 227-3000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): United Neighborhood Health Services, Inc (NPI 1760661714, Madison, TN); Signify Health Medical Associates, PLLC (NPI 1750845863, Dallas, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** July 16, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1073807632) · Data from the CMS NPPES public registry.