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MS. ESTHER NDEGWA-WANJE NURSE PRACTITIONER
NPI 1124442157
Nurse Practitioner - Acute Care in Phoenix, AZ

Active since February 11, 2014PECOS EnrolledAccepts Medicare Assignment
86.99/100
CMS Quality Rating
2509 E 24TH STREET, PHOENIX, AZ 85008(602) 273-1347 Get Directions Write a Review

NPPES record last updated: December 4, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Esther Ndegwa-wanje Nurse Practitioner NPPES

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

MS. ESTHER NDEGWA-WANJE NURSE PRACTITIONER (NPI 1124442157) is an individual acute care provider in Phoenix, Arizona, licensed in Arizona (AP5374) and active in the NPI registry since February 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1124442157
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMS. ESTHER NDEGWA-WANJECredential: NURSE PRACTITIONER
Location Address2509 E 24TH STREETPhoenix, AZ 85008-1805
Mailing Address3459 E Vaughn AveGilbert, AZ 85234-4247 · (909) 434-6940
Phone(602) 273-1347
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateFebruary 11, 2014
Last NPPES UpdateDecember 4, 2018
✔ NPI 1124442157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in AZ · AP5374
2509 E 24TH STREET, Phoenix, AZ 85008
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc..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

Ms. Esther Ndegwa-wanje Nurse Practitioner 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 ID8820211824
PECOS Enrollment IDI20140520001592, I20180525000583
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Esther Ndegwa-wanje reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gila River Health Care Corporation
15 mi
Critical Access
17487 S. HEALTH CARE DR.
Laveen, AZ 85339
  • Reassigned Medicare billing, Texas enrollment
  • 482 clinicians in this Medicare group
NPI 1376538231 (520) 550-6000
Zion Medical Group PLLC
18 mi
Hospitalist
3800 S ALMA SCHOOL RD, SUITE 112
Chandler, AZ 85248
  • Reassigned Medicare billing, Arizona enrollment
  • 56 clinicians in this Medicare group
NPI 1184049322 (480) 907-7707
San Carlos Apache Healthcare Corporation
92 mi
Critical Access Hospital
103 MEDICINE WAY ROAD
Peridot, AZ 85542
  • Reassigned Medicare billing, Texas enrollment
  • 438 clinicians in this Medicare group
NPI 1265813075 (928) 475-1200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

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 moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
271 services123 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.
85 services68 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
76 services16 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.
60 services29 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.
36 services22 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
29 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85008 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.35
Promoting Interoperability88
Improvement Activities40
Cost53.95

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds K0823
DME-Wheelchairs · category DD009N
1 supplier12 claims12 services$130.16 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Esther Ndegwa-wanje's NPI number?

The NPI number for Esther Ndegwa-wanje is 1124442157. It was assigned to this individual provider in the NPPES registry on February 11, 2014.

Where is Esther Ndegwa-wanje located?

Esther Ndegwa-wanje practices at 2509 E 24th Street, Phoenix, AZ 85008. The listed phone number is (602) 273-1347.

What is Esther Ndegwa-wanje's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Esther Ndegwa-wanje enrolled in Medicare?

Yes. Esther Ndegwa-wanje 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 Esther Ndegwa-wanje's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Esther Ndegwa-wanje reassigns Medicare benefits to 3 organizations: Gila River Health Care Corporation (Laveen, AZ), Zion Medical Group PLLC (Chandler, AZ) and San Carlos Apache Healthcare Corporation (Peridot, AZ). 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 Esther Ndegwa-wanje's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Esther Ndegwa-wanje accept?

Health plans from Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Esther Ndegwa-wanje 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 Esther Ndegwa-wanje was last updated on December 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.