ISAAC NDUNGU CNP
NPI 1174900690
Nurse Practitioner - Gerontology in West Springfield, MA

Q: What is Isaac Ndungu's NPI number?

The NPI number for Isaac Ndungu is 1174900690. It was assigned to this individual provider in the NPPES registry on May 5, 2015.

Q: What is Isaac Ndungu's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Isaac Ndungu was last updated on May 5, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 05, 2015PECOS EnrolledAccepts Medicare Assignment

103 MYRON ST, SUITE A, WEST SPRINGFIELD, MA 01089(413) 592-1980(413) 439-0100 Get Directions Write a Review

NPPES record last updated: May 5, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Isaac Ndungu Cnp NPPES

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

ISAAC NDUNGU CNP (NPI 1174900690) is an individual gerontology provider in West Springfield, Massachusetts, licensed in Massachusetts (RN2283072) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1174900690

Entity TypeIndividualMale

Primary Taxonomy363LG0600X

Provider Legal NameISAAC NDUNGUCredential: CNP

Location Address103 MYRON ST, SUITE AWest Springfield, MA 01089-1598

Mailing Address103 Myron St, Suite AWest Springfield, MA 01089-1598 · (413) 592-1980

Phone(413) 592-1980

Fax(413) 439-0100

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateMay 5, 2015

✔ NPI 1174900690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in MA · RN2283072

Also ListedNurse PractitionerTaxonomy 363L00000X · License RN2283072 (MA)

103 MYRON ST, West Springfield, MA 01089

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.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

Isaac Ndungu Cnp 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 ID6709197494

PECOS Enrollment IDI20250820005208

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 01089 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

$90.70 typical visit price

range $58.86 – $177.36

Typical copayment $22.67 (range $14.71 – $44.34)

Most-billed visit code 99203

Established Patient

$103.48 typical visit price

range $19.11 – $144.84

Typical copayment $25.87 (range $4.77 – $36.21)

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.

STEPHANIE HUDON LICSW

Social Worker (Clinical)

103 MYRON ST, SUITE 2
WEST SPRINGFIELD, MA 01089

Hampden County (413) 592-1980

ASHLEY BULLEN CNP

Nurse Practitioner