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GILEEN WAMBUA APN
NPI 1194503748
Nurse Practitioner - Psychiatric/Mental Health in West Orange, NJ

Active since September 15, 2023PECOS EnrolledAccepts Medicare Assignment
5 HIGH ST, WEST ORANGE, NJ 07052(973) 224-7956 Get Directions Write a Review

NPPES record last updated: September 15, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Gileen Wambua Apn NPPES

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

GILEEN WAMBUA APN (NPI 1194503748) is an individual psychiatric/mental health provider in West Orange, New Jersey, licensed in New Jersey (26NJ14914800) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1194503748
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameGILEEN WAMBUACredential: APN
Location Address5 HIGH STWest Orange, NJ 07052-6101
Mailing Address5 High StWest Orange, NJ 07052-6101
Phone(973) 224-7956
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 15, 2023
NPPES CertifiedSeptember 15, 2023
✔ NPI 1194503748 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 NJ · 26NJ14914800
5 HIGH ST, West Orange, NJ 07052
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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

Gileen Wambua Apn 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 ID1456885821
PECOS Enrollment IDI20241107001126
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 3

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.
63 services60 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.
25 services23 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07052 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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 Gileen Wambua's NPI number?

The NPI number for Gileen Wambua is 1194503748. It was assigned to this individual provider in the NPPES registry on September 15, 2023.

Where is Gileen Wambua located?

Gileen Wambua practices at 5 High St, West Orange, NJ 07052. The listed phone number is (973) 224-7956.

What is Gileen Wambua's specialty?

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

Is Gileen Wambua enrolled in Medicare?

Yes. Gileen Wambua 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 Gileen Wambua was last updated on September 15, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.