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CAROLINE N MBUGUA
NPI 1174398945
Nurse Practitioner - Gerontology in Newark, DE

Active since November 21, 2023PECOS EnrolledAccepts Medicare Assignment
4 PEDDLERS ROW UNIT 391, NEWARK, DE 19702(617) 365-2164 Get Directions Write a Review

NPPES record last updated: December 22, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 22, 2025, Nov 21, 2023 (2 updates tracked since 2023).

About Caroline N Mbugua NPPES

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

CAROLINE N MBUGUA (NPI 1174398945) is an individual gerontology provider in Newark, Delaware, licensed in Delaware (LP-0010658) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1174398945
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameCAROLINE N MBUGUA
Location Address4 PEDDLERS ROW UNIT 391Newark, DE 19702-1525
Mailing Address157 Tuckahoe LnNewark, DE 19702 · (617) 365-2164
Phone(617) 365-2164
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 21, 2023
Last NPPES UpdateDecember 22, 20252 updates tracked since enumeration
NPPES CertifiedDecember 22, 2025
✔ NPI 1174398945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in DE · LP-0010658
4 PEDDLERS ROW UNIT 391, Newark, DE 19702
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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 and accepts Medicare assignment

Caroline N Mbugua 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 ID2365887379
PECOS Enrollment IDI20240229002787
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 12

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.
1,342 services294 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 services132 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.
159 services67 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
125 services59 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
121 services63 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
86 services83 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19702 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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.

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 Caroline Mbugua's NPI number?

The NPI number for Caroline Mbugua is 1174398945. It was assigned to this individual provider in the NPPES registry on November 21, 2023.

Where is Caroline Mbugua located?

Caroline Mbugua practices at 4 Peddlers Row Unit 391, Newark, DE 19702. The listed phone number is (617) 365-2164.

What is Caroline Mbugua's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Caroline Mbugua enrolled in Medicare?

Yes. Caroline Mbugua 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.

When was this NPI record last updated?

The NPPES record for Caroline Mbugua was last updated on December 22, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.