KISIMA HEALTHCARE LLC
NPI 1801755988
Nurse Practitioner - Gerontology in Bear, DE

Active since January 15, 2026
157 TUCKAHOE LN, BEAR, DE 19701(302) 770-3452 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kisima Healthcare Llc NPPES

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

KISIMA HEALTHCARE LLC (NPI 1801755988) is a healthcare organization registered as a gerontology in Bear, Delaware and active in the NPI registry since January 2026. The organization lists Caroline Mbugua, Owner, as its authorized official.

NPPES Registry Identity

NPI1801755988
Entity TypeOrganization
Primary Taxonomy363LG0600X
Legal Business NameKISIMA HEALTHCARE LLC
Location Address157 TUCKAHOE LNBear, DE 19701-3825
Mailing Address157 Tuckahoe LnBear, DE 19701-3825 · (302) 770-3452
Organization SubpartNo
Authorized OfficialCaroline MbuguaOwner · (302) 770-3452
Enumeration DateJanuary 15, 2026
NPPES CertifiedJanuary 15, 2026
✔ NPI 1801755988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
157 TUCKAHOE LN, Bear, DE 19701

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kisima Healthcare Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kisima Healthcare LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1174398945
4 PEDDLERS ROW UNIT 391
Newark, DE 19702
(617) 365-2164
✔ PECOS✔ Accepts Medicare0.7 mi

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

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 Kisima Healthcare LLC's NPI number?

The NPI number for Kisima Healthcare LLC is 1801755988. It was assigned to this organization in the NPPES registry on January 15, 2026.

Where is Kisima Healthcare LLC located?

Kisima Healthcare LLC is located at 157 Tuckahoe Ln, Bear, DE 19701. The listed phone number is (302) 770-3452.

What is Kisima Healthcare LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Kisima Healthcare LLC enrolled in Medicare?

Yes. Kisima Healthcare LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kisima Healthcare LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Kisima Healthcare LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Kisima Healthcare LLC accept?

Health plans from Highmark Blue Cross Blue Shield Delaware list Kisima Healthcare LLC 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 Kisima Healthcare LLC was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.