MARY GATHONI NJUGUNA
NPI 1184578874
Nurse Practitioner - Family in Corpus Christi, TX

Active since February 21, 2026PECOS Enrolled
5129 GRAFORD PL, CORPUS CHRISTI, TX 78413(361) 816-2594 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mary Gathoni Njuguna NPPES

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

MARY GATHONI NJUGUNA (NPI 1184578874) is an individual family provider in Corpus Christi, Texas, licensed in Texas (1226600) and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS, maintains a secondary practice location in Corpus Christi, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1184578874
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY GATHONI NJUGUNA
Location Address5129 GRAFORD PLCorpus Christi, TX 78413-5370
Mailing Address5129 Graford PlCorpus Christi, TX 78413-5370
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateFebruary 21, 2026
Last NPPES UpdateApril 21, 2026
NPPES CertifiedApril 21, 2026
✔ NPI 1184578874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 1226600
5129 GRAFORD PL, Corpus Christi, TX 78413

Secondary Practice Location 1

Location 14617 Greenwood DrCorpus Christi, TX 78416-1742 · Phone (361) 857-2872

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Gathoni Njuguna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254801376
PECOS Enrollment IDI20260529000579
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

2

Medicare enrollment records show Mary Njuguna reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
520 DOUGLAS BLVD
Tyler, TX 75702
  • Reassigned Medicare billing, Texas enrollment
  • 2,745 clinicians in this Medicare group
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Texas enrollment
  • 1,246 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 78413 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 Mary Njuguna's NPI number?

The NPI number for Mary Njuguna is 1184578874. It was assigned to this individual provider in the NPPES registry on February 21, 2026.

Where is Mary Njuguna located?

Mary Njuguna practices at 5129 Graford Pl, Corpus Christi, TX 78413. The listed phone number is (361) 816-2594.

What is Mary Njuguna's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mary Njuguna enrolled in Medicare?

Yes. Mary Njuguna is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mary Njuguna's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Njuguna reassigns Medicare benefits to 2 organizations: Christus Trinity Clinic Texas (Tyler, TX) 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 Mary Njuguna's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Njuguna accept?

Health plans from Blue Cross and Blue Shield of Texas list Mary Njuguna 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 Mary Njuguna was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.