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MR. JAMES MBURU KINUTHIA APRN
NPI 1326910951
Nurse Practitioner - Family in Oklahoma City, OK

Active since September 23, 2025PECOS EnrolledAccepts Medicare Assignment
5725 S ROSS AVE, OKLAHOMA CITY, OK 73119(847) 235-6130(847) 235-6135 Get Directions Write a Review

NPPES record last updated: November 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. James Mburu Kinuthia Aprn NPPES

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

MR. JAMES MBURU KINUTHIA APRN (NPI 1326910951) is an individual family provider in Oklahoma City, Oklahoma, licensed in Oklahoma (225932) and active in the NPI registry since September 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1326910951
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. JAMES MBURU KINUTHIACredential: APRN
Location Address5725 S ROSS AVEOklahoma City, OK 73119-5650
Mailing Address6348 N Milwaukee Ave # 390Chicago, IL 60646-3728 · (847) 235-6130 · Fax (847) 235-6135
Phone(847) 235-6130
Fax(847) 235-6135
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 23, 2025
Last NPPES UpdateNovember 17, 2025
NPPES CertifiedNovember 17, 2025
✔ NPI 1326910951 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 OK · 225932
5725 S ROSS AVE, Oklahoma City, OK 73119
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan 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 and accepts Medicare assignment

Mr. James Mburu Kinuthia Aprn 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 ID6002300043
PECOS Enrollment IDI20251208003919
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

6

Medicare enrollment records show James Kinuthia reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optimum Care Hospitalist Group PLLC
17 mi
Internal Medicine
1501 E 19TH ST
Edmond, OK 73013
  • Reassigned Medicare billing, Oklahoma enrollment
  • 72 clinicians in this Medicare group
NPI 1306396577 (405) 367-6180
Optimum Care Partners PLLC
17 mi
Internal Medicine
1501 E 19TH ST STE A
Edmond, OK 73013
  • Reassigned Medicare billing, Oklahoma enrollment
  • 10 clinicians in this Medicare group
NPI 1912832973 (405) 471-6511
Optimum Pac PLLC
17 mi
Internal Medicine
1501 E 19TH ST
Edmond, OK 73013
  • Reassigned Medicare billing, Oklahoma enrollment
  • 26 clinicians in this Medicare group
NPI 1568352714 (405) 367-6180
Optimum Post Acute Care PLLC
17 mi
Hospitalist
1501 E 19TH ST
Edmond, OK 73013
  • Reassigned Medicare billing, Oklahoma enrollment
  • 55 clinicians in this Medicare group
NPI 1225774227 (405) 367-6180
Optimum Primary Care PLLC
17 mi
Internal Medicine
1501 E 19TH ST
Edmond, OK 73013
  • Reassigned Medicare billing, Oklahoma enrollment
  • 53 clinicians in this Medicare group
NPI 1760030399 (405) 471-6511
Karefirst Oklahoma PC
106 mi
Nurse Practitioner
4300 W HOUSTON ST
Broken Arrow, OK 74012
  • Reassigned Medicare billing, Oklahoma enrollment
  • 11 clinicians in this Medicare group
NPI 1932935251 (847) 235-6130

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 73119 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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 14

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

DONALD ANDERSON LCSW
Social Worker (Clinical)
5725 S ROSS AVE
OKLAHOMA CITY, OK 73119
Oklahoma County (405) 685-4791
DEER OAKS MED MANAGEMENT ASSOCIATES LLC
Psychiatry & Neurology (Psychiatry)
5725 S ROSS AVE
OKLAHOMA CITY, OK 73119
Oklahoma County (888) 365-6271
CATHERINE ISABEL KLEINMAN OT
Occupational Therapist
5725 S ROSS AVE
OKLAHOMA CITY, OK 73119
Oklahoma County (405) 685-4791
DR. TERRI GAIL MARTIN DCSW
Social Worker (Clinical)
5725 S ROSS AVE
OKLAHOMA CITY, OK 73119
Oklahoma County (405) 685-4791
PEAK MEDICAL OKLAHOMA NO. 4, INC.
Skilled Nursing Facility
5725 S ROSS AVE
OKLAHOMA CITY, OK 73119
Oklahoma County (405) 685-4791
SOUTH PARK HEALTH CARE LLC
Skilled Nursing Facility
5725 S ROSS AVE
OKLAHOMA CITY, OK 73119
Oklahoma County (405) 685-0232
SP HEALTHCARE MANAGEMENT LLC
Skilled Nursing Facility
5725 S ROSS AVE
OKLAHOMA CITY, OK 73119
Oklahoma County (405) 685-4791
MRS. KAY LYNN VINCENT PTA
Physical Therapy Assistant
5725 S ROSS AVE
OKLAHOMA CITY, OK 73119
Oklahoma County (918) 520-8528

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 James Kinuthia's NPI number?

The NPI number for James Kinuthia is 1326910951. It was assigned to this individual provider in the NPPES registry on September 23, 2025.

Where is James Kinuthia located?

James Kinuthia practices at 5725 S Ross Ave, Oklahoma City, OK 73119. The listed phone number is (847) 235-6130.

What is James Kinuthia's specialty?

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

Is James Kinuthia enrolled in Medicare?

Yes. James Kinuthia 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.

Which organizations bill Medicare for James Kinuthia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Kinuthia reassigns Medicare benefits to 6 organizations: Optimum Care Hospitalist Group PLLC (Edmond, OK), Optimum Care Partners PLLC (Edmond, OK), Optimum Pac PLLC (Edmond, OK), Optimum Post Acute Care PLLC (Edmond, OK), Optimum Primary Care PLLC (Edmond, OK) and 1 more organization, listed in the Medicare section above. 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 James Kinuthia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Kinuthia accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list James Kinuthia 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 James Kinuthia was last updated on November 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.