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PAUL NGUGI NP
NPI 1619332137
Nurse Practitioner - Acute Care in Saginaw, MI

Active since December 28, 2015PECOS EnrolledAccepts Medicare Assignment
74.84/100
CMS Quality Rating
3141 CABARET TRL S, SAGINAW, MI 48603(248) 636-6058 Get Directions Write a Review

NPPES record last updated: January 30, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 30, 2026, Feb 18, 2016, Dec 28, 2015 (3 updates tracked since 2015).

About Paul Ngugi Np NPPES

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

PAUL NGUGI NP (NPI 1619332137) is an individual acute care provider in Saginaw, Michigan, licensed in Texas (AP130226) and active in the NPI registry since December 2015. He is enrolled in Medicare PECOS, is affiliated with Choctaw Memorial Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1619332137
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NamePAUL NGUGICredential: NP
Location Address3141 CABARET TRL SSaginaw, MI 48603-2200
Mailing Address1500 S Dallas PkwyCelina, TX 75009-3495 · (469) 204-2021 · Fax (469) 204-2036
Phone(248) 636-6058
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateDecember 28, 2015
Last NPPES UpdateJanuary 30, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2026
✔ NPI 1619332137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
Licenses✔ Licensed in TX · AP130226✔ Licensed in MI · 4704288110
3141 CABARET TRL S, Saginaw, MI 48603
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Oscar Insurance Company.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

Paul Ngugi Np 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 ID9739478876
PECOS Enrollment IDI20160513000076
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 9

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
327 services302 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
109 services64 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
86 services80 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
82 services79 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
80 services48 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
39 services24 patients

Hospital Affiliations CMS Care Compare 4

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

Choctaw Memorial Hospital

Acute Care Hospitals · Hugo, OK
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number370100
Location1405 East Kirk RoadHugo, OK 74743 · Choctaw County
Emergency services

Mccurtain Memorial Hospital

Critical Access Hospitals · Idabel, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number371342
Location1301 Lincoln RoadIdabel, OK 74745 · Mccurtain County
Emergency services

Paris Regional Medical Center

Acute Care Hospitals · Paris, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450196
Location865 Deshong DrParis, TX 75460 · Lamar County
Emergency services Birthing friendly

Navarro Regional Hospital

Acute Care Hospitals · Corsicana, TX
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450447
Location3201 West Highway 22Corsicana, TX 75110 · Navarro County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48603 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

74.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.54
Improvement Activities40
Cost35.94

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 Paul Ngugi's NPI number?

The NPI number for Paul Ngugi is 1619332137. It was assigned to this individual provider in the NPPES registry on December 28, 2015.

Where is Paul Ngugi located?

Paul Ngugi practices at 3141 Cabaret Trl S, Saginaw, MI 48603. The listed phone number is (248) 636-6058.

What is Paul Ngugi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Paul Ngugi enrolled in Medicare?

Yes. Paul 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 Paul Ngugi accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and Oscar Insurance Company list Paul 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.

Is Paul Ngugi affiliated with any hospitals?

According to CMS data, Paul Ngugi is affiliated with Choctaw Memorial Hospital, Mccurtain Memorial Hospital, Paris Regional Medical Center and Navarro Regional Hospital.

When was this NPI record last updated?

The NPPES record for Paul Ngugi was last updated on January 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.