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DAVID NGUGI
NPI 1679114938
Nurse Practitioner - Psychiatric/Mental Health in Lumberton, NC

Active since October 07, 2019PECOS EnrolledAccepts Medicare Assignment
800 MARTIN LUTHER KING JR DR, LUMBERTON, NC 28358(910) 370-0815(910) 674-3083 Get Directions Write a Review

NPPES record last updated: May 4, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 4, 2023, Dec 11, 2019, Oct 7, 2019 (3 updates tracked since 2019).

About David Ngugi NPPES

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

DAVID NGUGI (NPI 1679114938) is an individual psychiatric/mental health provider in Lumberton, North Carolina, licensed in North Carolina (251382) and active in the NPI registry since October 2019. He is enrolled in Medicare PECOS, is affiliated with Southeastern Regional Medical Center, and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1679114938
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameDAVID NGUGI
Location Address800 MARTIN LUTHER KING JR DRLumberton, NC 28358-6937
Mailing Address60 Commerce Plaza CirPembroke, NC 28372-7386 · (910) 521-2900 · Fax (910) 775-9165
Phone(910) 370-0815
Fax(910) 674-3083
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 7, 2019
Last NPPES UpdateMay 4, 20233 updates tracked since enumeration
NPPES CertifiedMay 4, 2023
✔ NPI 1679114938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in NC · 251382✔ Licensed in AZ · 289041✔ Licensed in OR · 10006357
800 MARTIN LUTHER KING JR DR, Lumberton, NC 28358
Open in Google Maps ↗

Secondary Practice Location 1

Location 111740 SW 68th Pkwy Ste 200Portland, OR 97223-9058 · Phone (425) 477-4216

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina 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

David Ngugi 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 ID4486089083
PECOS Enrollment IDI20250319002472
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 David Ngugi reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Robeson Health Care Corporation
Same address
Federally Qualified Health Center (FQHC)
800 MARTIN LUTHER KING JR DR
Lumberton, NC 28358
  • Reassigned Medicare billing, North Carolina enrollment
  • 20 clinicians in this Medicare group
NPI 1457829996 (910) 521-2900
Vidant Medical Group LLC
94 mi
Ambulatory Surgical
701 DOCTORS DR STE N
Kinston, NC 28501
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,653 clinicians in this Medicare group
NPI 1376049619 (252) 559-2200
Innovative Behavioral Health Services P.C.
105 mi
Multi-Specialty
402 MAIN ST
Creedmoor, NC 27522
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Innovative Behavioral Health Services PC
  • 10 clinicians in this Medicare group
NPI 1124367347 (919) 529-2474
Mindful Therapy Group PC
2,396 mi
Clinical
6505 216TH ST SW STE 100
Mountlake Terrace, WA 98043
  • Reassigned Medicare billing, Oregon enrollment
  • 234 clinicians in this Medicare group
NPI 1316238678 (425) 640-7009

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

Hospital Affiliations CMS Care Compare

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

Southeastern Regional Medical Center

Acute Care Hospitals · Lumberton, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340050
Location300 W 27 St PO Box 1408Lumberton, NC 28359 · Robeson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28358 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 9

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

SOUTHEASTERN REGIONAL PHYSICIAN SERVICES
Clinic/Center (Rural Health)
800 MARTIN LUTHER KING JR DR
LUMBERTON, NC 28358
Robeson County (910) 738-3957
CHAUNCEY MAURICE MCDONALD DDS
Dentist
800 MARTIN LUTHER KING JR DR
LUMBERTON, NC 28358
Robeson County (910) 738-4770
SOUTHEASTERN REGIONAL MEDICAL CENTER
Clinic/Center (Rural Health)
800 MARTIN LUTHER KING JR DR
LUMBERTON, NC 28358
Robeson County (910) 738-3957
PATEL SCOTT & YEE PLLC
Dentist
800 MARTIN LUTHER KING JR DR
LUMBERTON, NC 28358
Robeson County (252) 885-6302
ASHLEY ROSE WILHELM LCSW, LCAS
Social Worker (Clinical)
800 MARTIN LUTHER KING JR DR
LUMBERTON, NC 28358
Robeson County (103) 700-8159
ROBESON HEALTH CARE CORPORATION
Clinic/Center (Federally Qualified Health Center (FQHC))
800 MARTIN LUTHER KING JR DR
LUMBERTON, NC 28358
Robeson County (910) 521-2900
SHANNON CELINE CUMMINGS PA-C
Physician Assistant
800 MARTIN LUTHER KING JR DR
LUMBERTON, NC 28358
Robeson County (910) 370-0815
CYNTHIA ANN SMITH
Nurse Practitioner (Family)
800 MARTIN LUTHER KING JR DR
LUMBERTON, NC 28358
Robeson County (910) 370-0815

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 David Ngugi's NPI number?

The NPI number for David Ngugi is 1679114938. It was assigned to this individual provider in the NPPES registry on October 7, 2019.

Where is David Ngugi located?

David Ngugi practices at 800 Martin Luther King Jr Dr, Lumberton, NC 28358. The listed phone number is (910) 370-0815.

What is David Ngugi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is David Ngugi enrolled in Medicare?

Yes. David 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.

Which organizations bill Medicare for David Ngugi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Ngugi reassigns Medicare benefits to 4 organizations: Robeson Health Care Corporation (Lumberton, NC), Vidant Medical Group LLC (Kinston, NC), Innovative Behavioral Health Services P.C. (Creedmoor, NC) and Mindful Therapy Group PC (Mountlake Terrace, WA). 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 David Ngugi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Ngugi accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 7 other insurers list David 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 David Ngugi affiliated with any hospitals?

According to CMS data, David Ngugi is affiliated with Southeastern Regional Medical Center.

When was this NPI record last updated?

The NPPES record for David Ngugi was last updated on May 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.