JEAN CLEMENT NIKUBWAYO ARNP
NPI 1093542946
Nurse Practitioner - Psychiatric/Mental Health in Centralia, WA

Q: What is Jean Nikubwayo's NPI number?

The NPI number for Jean Nikubwayo is 1093542946. It was assigned to this individual provider in the NPPES registry on September 16, 2024.

Q: What is Jean Nikubwayo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Jean Nikubwayo was last updated on October 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.

Active since September 16, 2024PECOS Enrolled

3510 STEELHAMMER DR, CENTRALIA, WA 98531(360) 623-8020(360) 623-1072 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 1, 2024, Sep 16, 2024 (2 updates tracked since 2024).

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About Jean Clement Nikubwayo Arnp NPPES

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

JEAN CLEMENT NIKUBWAYO ARNP (NPI 1093542946) is an individual psychiatric/mental health provider in Centralia, Washington, licensed in Washington (AP61576057) and active in the NPI registry since September 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093542946

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameJEAN CLEMENT NIKUBWAYOCredential: ARNP

Location Address3510 STEELHAMMER DRCentralia, WA 98531-1532

Mailing Address2428 W Reynolds AveCentralia, WA 98531-4554 · (360) 330-9044 · Fax (360) 736-0689

Phone(360) 623-8020

Fax(360) 623-1072

Sole ProprietorNo

Enumeration DateSeptember 16, 2024

Last NPPES UpdateOctober 1, 20242 updates tracked since enumeration

NPPES CertifiedOctober 1, 2024

✔ NPI 1093542946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in WA · AP61576057

3510 STEELHAMMER DR, Centralia, WA 98531

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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 (PECOS)

Jean Clement Nikubwayo Arnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 98531 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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 20

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

NAOMI JEAN HAMILTON

Counselor (Mental Health)