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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NASSALI MUGWANYA MD
NPI 1205299351
Pediatrics in Peoria, AZ

Active since April 05, 2016PECOS Enrolled
15525 N 83RD AVE STE 104, PEORIA, AZ 85382(877) 809-5092(623) 505-3272 Get Directions Write a Review

NPPES record last updated: October 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 12, 2026, Dec 7, 2022 (2 updates tracked since 2022).

About Nassali Mugwanya Md NPPES

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

NASSALI MUGWANYA MD (NPI 1205299351) is an individual pediatrics provider in Peoria, Arizona, licensed in Arizona (67709) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Raleigh.

NPPES Registry Identity

NPI1205299351
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameNASSALI MUGWANYACredential: MD
Location Address15525 N 83RD AVE STE 104Peoria, AZ 85382-5820
Mailing Address13200 Strickland RdRaleigh, NC 27613-5212 · (910) 728-2659
Phone(877) 809-5092
Fax(623) 505-3272
Sole ProprietorNo
Enumeration DateApril 5, 2016
Last NPPES UpdateOctober 12, 20262 updates tracked since enumeration
NPPES CertifiedOctober 12, 2026
✔ NPI 1205299351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in AZ · 67709
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
15525 N 83RD AVE STE 104, Peoria, AZ 85382
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Secondary Practice Location 1

Location 113200 Strickland RdRaleigh, NC 27613-5212 · Phone (910) 728-2659

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Antidote Health Plan of Arizona, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nassali Mugwanya Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Nassali Mugwanya reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Adelante Healthcare, Inc.
Same address
Federally Qualified Health Center (FQHC)
15525 N 83RD AVE STE 104
Peoria, AZ 85382
  • Reassigned Medicare billing, Arizona enrollment
  • 234 clinicians in this Medicare group
NPI 1770991291 (480) 964-2273

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 85382 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.

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.

BRENT SMOOTS MD
Internal Medicine
15525 N 83RD AVE STE 104
PEORIA, AZ 85382
Maricopa County (877) 809-5092
HERLINDA C CASTRO FNP-C
Nurse Practitioner (Family)
15525 N 83RD AVE STE 104
PEORIA, AZ 85382
Maricopa County (480) 964-2273
ADELANTE HEALTHCARE, INC.
Community/Behavioral Health
15525 N 83RD AVE STE 104
PEORIA, AZ 85382
Maricopa County (480) 964-2273
KAITLIN M HART PA-C
Nurse Practitioner (Psychiatric/Mental Health)
15525 N 83RD AVE STE 104
PEORIA, AZ 85382
Maricopa County (480) 964-2273
JAY MICHAEL PIERCEFIELD LCSW
Social Worker (Clinical)
15525 N 83RD AVE STE 104
PEORIA, AZ 85382
Maricopa County (480) 964-2273
JAZMIN PENALOZA MATA
Dental Hygienist
15525 N 83RD AVE STE 104
PEORIA, AZ 85382
Maricopa County (480) 964-2273
DARIUS ANTHONY CRUZ
Case Manager/Care Coordinator
15525 N 83RD AVE STE 104
PEORIA, AZ 85382
Maricopa County (475) 434-2492
TAMMY THOMPSON LCMHC, MLADC, LPC
Counselor (Professional)
15525 N 83RD AVE STE 104
PEORIA, AZ 85382
Maricopa County (480) 964-2273

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 Nassali Mugwanya's NPI number?

The NPI number for Nassali Mugwanya is 1205299351. It was assigned to this individual provider in the NPPES registry on April 5, 2016.

Where is Nassali Mugwanya located?

Nassali Mugwanya practices at 15525 N 83rd Ave Ste 104, Peoria, AZ 85382. The listed phone number is (877) 809-5092.

What is Nassali Mugwanya's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Nassali Mugwanya enrolled in Medicare?

Yes. Nassali Mugwanya is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nassali Mugwanya's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nassali Mugwanya reassigns Medicare benefits to Adelante Healthcare, Inc. (Peoria, AZ). The 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 Nassali Mugwanya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nassali Mugwanya accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and Cigna HealthCare of Arizona, Inc and 2 other insurers list Nassali Mugwanya 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 Nassali Mugwanya was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.