CAROLINE NAMIREMBE MAYENGO DNP, AGPNP-C
NPI 1699419366
Nurse Practitioner in Los Angeles, CA

Q: What is Caroline Mayengo's NPI number?

The NPI number for Caroline Mayengo is 1699419366. It was assigned to this individual provider in the NPPES registry on April 27, 2022.

Q: What is Caroline Mayengo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Caroline Mayengo was last updated on April 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 27, 2022PECOS EnrolledAccepts Medicare Assignment

1655 S WESTERN AVE, LOS ANGELES, CA 90006(323) 737-5200(323) 737-5400 Get Directions Write a Review

NPPES record last updated: April 27, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Caroline Namirembe Mayengo Dnp, Agpnp-c NPPES

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

CAROLINE NAMIREMBE MAYENGO DNP, AGPNP-C (NPI 1699419366) is an individual nurse practitioner in Los Angeles, California, licensed in California (95020746) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1699419366

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameCAROLINE NAMIREMBE MAYENGOCredential: DNP, AGPNP-C

Location Address1655 S WESTERN AVELos Angeles, CA 90006-5801

Mailing Address1655 S Western AveLos Angeles, CA 90006-5801 · (323) 737-5200 · Fax (323) 737-5400

Phone(323) 737-5200

Fax(323) 737-5400

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateApril 27, 2022

NPPES CertifiedApril 27, 2022

✔ NPI 1699419366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · 95020746

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 95020746 (CA)

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 95020746 (CA)

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 95020746 (CA)

1655 S WESTERN AVE, Los Angeles, CA 90006

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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

Caroline Namirembe Mayengo Dnp, Agpnp-c 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 ID7214307172

PECOS Enrollment IDI20230110002505

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

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.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

21 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90006 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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 8

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

ERA MAE CHUA GIBBONS

Nurse Practitioner (Family)