CAROLINE NJUGUNA
NPI 1891306429
Nurse Practitioner in Houston, TX

Active since August 17, 2020PECOS EnrolledAccepts Medicare Assignment
1201 FANNIN ST STE 262, HOUSTON, TX 77002(866) 849-0692 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 5, 2026, Feb 2, 2026, Jan 23, 2026 and 2 more (5 updates tracked since 2020).

About Caroline Njuguna NPPES

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

CAROLINE NJUGUNA (NPI 1891306429) is an individual nurse practitioner in Houston, Texas, licensed in Texas (1006008) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Richmond, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1891306429
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCAROLINE NJUGUNA
Location Address1201 FANNIN ST STE 262Houston, TX 77002-6943
Mailing AddressPo Box 211699Eagan, MN 55121-3699
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 17, 2020
Last NPPES UpdateMarch 5, 20265 updates tracked since enumeration
NPPES CertifiedMarch 5, 2026
NPI 1891306429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses Licensed in TX · 1006008 Licensed in NC · 5023529 Licensed in SC · 31413 Licensed in GA · GAA-NP004593 Licensed in PA · SP035046
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.
1201 FANNIN ST STE 262, Houston, TX 77002

Secondary Practice Location 1

Location 17210 Still Haven DrRichmond, TX 77407-7131 · Phone (713) 885-4836

Accepted 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

Caroline Njuguna 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 ID1951700285
PECOS Enrollment IDI20210519000230
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 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.
79 services35 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
59 services28 patients
Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347
An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.
33 services25 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
30 services22 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.
25 services12 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77002 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

Counselor (Professional)
1201 FANNIN ST STE 262
HOUSTON, TX 77002
Physician Assistant
1201 FANNIN ST STE 262
HOUSTON, TX 77002
Non-emergency Medical Transport (VAN)
1201 FANNIN ST STE 262
HOUSTON, TX 77002
Nurse Practitioner (Family)
1201 FANNIN ST STE 262
HOUSTON, TX 77002
Social Worker (Clinical)
1201 FANNIN ST STE 262
HOUSTON, TX 77002
Clinic/Center (Adult Mental Health)
1201 FANNIN ST STE 262
HOUSTON, TX 77002
Nurse Practitioner (Family)
1201 FANNIN ST STE 262
HOUSTON, TX 77002
Nurse Practitioner (Family)
1201 FANNIN ST STE 262
HOUSTON, TX 77002

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 Caroline Njuguna's NPI number?

The NPI number for Caroline Njuguna is 1891306429. It was assigned to this individual provider in the NPPES registry on August 17, 2020.

Where is Caroline Njuguna located?

Caroline Njuguna practices at 1201 Fannin St Ste 262, Houston, TX 77002. The listed phone number is (866) 849-0692.

What is Caroline Njuguna's specialty?

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

Is Caroline Njuguna enrolled in Medicare?

Yes. Caroline Njuguna 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 Caroline Njuguna accept?

Health plans from Community Health Choice, UnitedHealthcare and WellPoint list Caroline Njuguna 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 Caroline Njuguna was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.