TABITHA WAMERE MBUGUA
NPI 1568047389
Nurse Practitioner - Family in Horsham, PA

Active since March 12, 2021PECOS EnrolledAccepts Medicare Assignment
680 BLAIR MILL RD, HORSHAM, PA 19044(302) 521-0763 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 5, 2025, Mar 19, 2021, Mar 12, 2021 (3 updates tracked since 2021).

About Tabitha Wamere Mbugua NPPES

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

TABITHA WAMERE MBUGUA (NPI 1568047389) is an individual family provider in Horsham, Pennsylvania, licensed in Delaware (LG-0011592) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1568047389
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTABITHA WAMERE MBUGUA
Location Address680 BLAIR MILL RDHorsham, PA 19044-2223
Mailing Address222 Delaware St Ste BoxaHistoric New Castle, DE 19720-4855 · (302) 568-7549
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 12, 2021
Last NPPES UpdateNovember 5, 20253 updates tracked since enumeration
NPPES CertifiedNovember 5, 2025
✔ NPI 1568047389 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 DE · LG-0011592
680 BLAIR MILL RD, Horsham, PA 19044

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

Tabitha Wamere Mbugua 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 ID8921486846
PECOS Enrollment IDI20240419000032
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

4

Medicare enrollment records show Tabitha Mbugua reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist
505 GREENBANK RD
Wilmington, DE 19808
  • Reassigned Medicare billing, Delaware enrollment
  • 88 clinicians in this Medicare group
Hospitalist
100 SAINT CLAIRE DR
Hockessin, DE 19707
  • Reassigned Medicare billing, Delaware enrollment
  • 85 clinicians in this Medicare group
Family
1145 PULASKI HWY, STE 146A
Bear, DE 19701
  • Reassigned Medicare billing, Delaware enrollment
Hospitalist
30 NORTH PL
Frederick, MD 21701
  • Reassigned Medicare billing, Delaware enrollment
  • 80 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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.
510 services73 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.
361 services40 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.
179 services63 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.
121 services34 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
37 services33 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.
22 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19044 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Nurse Practitioner (Family)
680 BLAIR MILL RD
HORSHAM, PA 19044
Nurse Practitioner
680 BLAIR MILL RD
HORSHAM, PA 19044
Nurse Practitioner (Psychiatric/Mental Health)
680 BLAIR MILL RD
HORSHAM, PA 19044
Nurse Practitioner (Family)
680 BLAIR MILL RD
HORSHAM, PA 19044
Nurse Practitioner (Gerontology)
680 BLAIR MILL RD
HORSHAM, PA 19044
Nurse Practitioner (Family)
680 BLAIR MILL RD
HORSHAM, PA 19044
Nurse Practitioner (Family)
680 BLAIR MILL RD, STE. 400
HORSHAM, PA 19044
Nurse Practitioner (Family)
680 BLAIR MILL RD
HORSHAM, PA 19044

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 Tabitha Mbugua's NPI number?

The NPI number for Tabitha Mbugua is 1568047389. It was assigned to this individual provider in the NPPES registry on March 12, 2021.

Where is Tabitha Mbugua located?

Tabitha Mbugua practices at 680 Blair Mill Rd, Horsham, PA 19044. The listed phone number is (302) 521-0763.

What is Tabitha Mbugua's specialty?

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

Is Tabitha Mbugua enrolled in Medicare?

Yes. Tabitha Mbugua 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 Tabitha Mbugua's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tabitha Mbugua reassigns Medicare benefits to 4 organizations: Delaware Post Acute Medical Services 1 (Wilmington, DE), De Pacs 2 PA (Hockessin, DE), Ishara LLC (Bear, DE) and Cs Pacs 3 Northeast, LLC (Frederick, MD). 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 Tabitha Mbugua's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tabitha Mbugua was last updated on November 5, 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.