ESTHER MWASUMBI
NPI 1902446941
Nurse Practitioner - Family in London, KY
About Esther Mwasumbi NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ESTHER MWASUMBI (NPI 1902446941) is an individual family provider in London, Kentucky, licensed in Kentucky (3014184) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted 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
Esther Mwasumbi 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.
Medicare Billing Reassignments
3Medicare enrollment records show Esther Mwasumbi reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
London, KY 40741
- Reassigned Medicare billing, Kentucky enrollment
- 123 clinicians in this Medicare group
Pineville, KY 40977
- Reassigned Medicare billing, Kentucky enrollment
- 3 clinicians in this Medicare group
Danville, KY 40422
- Reassigned Medicare billing, Kentucky enrollment
- 115 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 40741 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Esther Mwasumbi's NPI number?
The NPI number for Esther Mwasumbi is 1902446941. It was assigned to this individual provider in the NPPES registry on January 7, 2020.
Where is Esther Mwasumbi located?
Esther Mwasumbi practices at 300 Crown Point Est, London, KY 40741. The listed phone number is (606) 594-8369.
What is Esther Mwasumbi's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Esther Mwasumbi enrolled in Medicare?
Yes. Esther Mwasumbi 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 Esther Mwasumbi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Esther Mwasumbi reassigns Medicare benefits to 3 organizations: Memorial Hospital, Inc. (London, KY), Pineville ER Services (Pineville, KY) and Spero Health Of Kentucky, LLC (Danville, KY). 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 Esther Mwasumbi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Esther Mwasumbi accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Esther Mwasumbi 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 Esther Mwasumbi was last updated on January 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Esther Mwasumbi · NPI 1902446941
Family physician in London, Kentucky. Individual provider, active in the CMS NPPES registry since January 7, 2020.
## Identity
- **NPI:** 1902446941 (Entity type: Individual)
- **Enumerated:** January 7, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 3014184 (Kentucky)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 300 CROWN POINT EST, London, KY 40741-7531
- **Phone:** (606) 594-8369
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Memorial Hospital, Inc. (NPI 1922275395, London, KY); Pineville ER Services (NPI 1578194890, Pineville, KY); Spero Health Of Kentucky, LLC (NPI 1982102109, Danville, KY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** January 7, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1902446941) · Data from the CMS NPPES public registry.