JOHN KAMAU NGUGI CRNP-BC
NPI 1245638048
Nurse Practitioner - Adult Health in Pikesville, MD

Active since December 10, 2014PECOS EnrolledAccepts Medicare Assignment
27.39/100
CMS Quality Rating
1314 BEDFORD AVE STE 113, PIKESVILLE, MD 21208(480) 877-8780(443) 732-0054 Get Directions Write a Review

NPPES record last updated: February 8, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 8, 2019, Jan 17, 2018 (2 updates tracked since 2018).

About John Kamau Ngugi Crnp-bc NPPES

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

JOHN KAMAU NGUGI CRNP-BC (NPI 1245638048) is an individual adult health provider in Pikesville, Maryland, licensed in Maryland (R179125) and active in the NPI registry since December 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1245638048
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameJOHN KAMAU NGUGICredential: CRNP-BC
Location Address1314 BEDFORD AVE STE 113Pikesville, MD 21208-3737
Mailing AddressPo Box 72098Rosedale, MD 21237-8098 · (480) 878-7806
Fax(443) 732-0054
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateDecember 10, 2014
Last NPPES UpdateFebruary 8, 20192 updates tracked since enumeration
NPI 1245638048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in MD · R179125
1314 BEDFORD AVE STE 113, Pikesville, MD 21208

Other Identifiers 1

Medicaid964007000MD

Accepted 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

John Kamau Ngugi Crnp-bc 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 ID7618298167
PECOS Enrollment IDI20200115001206
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 5

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.
1,292 services559 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
1,201 services537 patients
Nursing facility discharge day management, 30 minutes or less 99315
Nursing facility discharge day management involves organizing your transition from the nursing facility to your home or another facility. This service, taking 30 minutes or less, includes finalizing medical instructions, arranging follow-up care, and answering any questions.
63 services59 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
26 services22 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21208 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

27.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Promoting Interoperability0
Improvement Activities0
Cost91.3

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, fixed height, with any type side rails, without mattress E0251
DME-Hospital Beds · category DB000N
2 suppliers14 claims14 services$33.64 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
3 suppliers29 claims29 services$39.54 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier19 claims19 services$15.25 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
2 suppliers14 claims14 services$44.22 avg. paid by Medicare
Manual wheelchair accessory, anti-tipping device, each E0971
DME-Wheelchairs · category DD021N
4 suppliers13 claims25 services$25.00 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier20 claims20 services$71.64 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
1314 BEDFORD AVE STE 113
PIKESVILLE, MD 21208
Marriage & Family Therapist
1314 BEDFORD AVE STE 113
BALTIMORE, MD 21208
Psychologist
1314 BEDFORD AVE STE 113
BALTIMORE, MD 21208
Psychologist
1314 BEDFORD AVE STE 113
BALTIMORE, MD 21208
Nurse Practitioner (Family)
1314 BEDFORD AVE STE 113
PIKESVILLE, MD 21208
Nurse Practitioner (Adult Health)
1314 BEDFORD AVE STE 113
PIKESVILLE, MD 21208
Nurse Practitioner (Acute Care)
1314 BEDFORD AVE STE 113
PIKESVILLE, MD 21208

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 John Ngugi's NPI number?

The NPI number for John Ngugi is 1245638048. It was assigned to this individual provider in the NPPES registry on December 10, 2014.

Where is John Ngugi located?

John Ngugi practices at 1314 Bedford Ave Ste 113, Pikesville, MD 21208. The listed phone number is (480) 877-8780.

What is John Ngugi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is John Ngugi enrolled in Medicare?

Yes. John Ngugi 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.

What insurance does John Ngugi accept?

Health plans from CareSource list John Ngugi 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 John Ngugi was last updated on February 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.