SOPHY KARIGO KAMAU
NPI 1265998355
Nurse Practitioner - Family in Hagerstown, MD

Active since February 14, 2019PECOS EnrolledAccepts Medicare Assignment
1126 OPAL CT, HAGERSTOWN, MD 21740(240) 420-0950 Get Directions Write a Review

NPPES record last updated: February 14, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sophy Karigo Kamau NPPES

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

SOPHY KARIGO KAMAU (NPI 1265998355) is an individual family provider in Hagerstown, Maryland, licensed in Maryland (R183410) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, is affiliated with Frederick Health Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1265998355
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSOPHY KARIGO KAMAU
Location Address1126 OPAL CTHagerstown, MD 21740-5940
Mailing Address1126 Opal CtHagerstown, MD 21740-5940 · (240) 420-0950
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 14, 2019
NPI 1265998355 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 MD · R183410
1126 OPAL CT, Hagerstown, MD 21740

Other Identifiers 1

Medicaid183410MD

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

Sophy Karigo Kamau 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 ID749520153
PECOS Enrollment IDI20190321002446
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 7

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.
517 services72 patients
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.
186 services35 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.
150 services41 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
62 services55 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.
34 services15 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
23 services22 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Frederick Health Hospital

Acute Care Hospitals · Frederick, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210005
Location400 West Seventh StFrederick, MD 21701 · Frederick County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21740 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers24 claims24 services$17.32 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier14 claims14 services$7.06 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 6

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

Nurse Practitioner
1126 OPAL CT
HAGERSTOWN, MD 21740
Internal Medicine
1126 OPAL CT
HAGERSTOWN, MD 21740
Family Medicine (Adult Medicine)
1126 OPAL CT
HAGERSTOWN, MD 21740
Nurse Practitioner (Family)
1126 OPAL CT
HAGERSTOWN, MD 21740
Nurse Practitioner (Adult Health)
1126 OPAL CT
HAGERSTOWN, MD 21740
Nurse Practitioner (Family)
1126 OPAL CT
HAGERSTOWN, MD 21740

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 Sophy Kamau's NPI number?

The NPI number for Sophy Kamau is 1265998355. It was assigned to this individual provider in the NPPES registry on February 14, 2019.

Where is Sophy Kamau located?

Sophy Kamau practices at 1126 Opal Ct, Hagerstown, MD 21740. The listed phone number is (240) 420-0950.

What is Sophy Kamau's specialty?

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

Is Sophy Kamau enrolled in Medicare?

Yes. Sophy Kamau 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.

Is Sophy Kamau affiliated with any hospitals?

According to CMS data, Sophy Kamau is affiliated with Frederick Health Hospital.

When was this NPI record last updated?

The NPPES record for Sophy Kamau was last updated on February 14, 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.