CAROLINE N MBUGUA – Gerontology Nurse Practitioner, NPI 1174398945

CAROLINE N MBUGUA is a healthcare provider. based in Newark, Delaware. specializing in NURSE PRACTITIONER. They hold a License No. LP-0010658 (DE). The NPI Number for CAROLINE N MBUGUA is 1174398945

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
CAROLINE N MBUGUA
NPI
1174398945
Phone
(617) 365-2164
Address
157 TUCKAHOE LN
Enumeration Date
21 November 2023
Last Update Date
22 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3023660160
Graduation Year
2023 (3 years ago)
PAC ID
2365887379
Group Practice PAC ID
2466727755
Professional Enrollment ID
I20240229002787
Address ID
DE197113877NE255XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness85
Years active:2State licenses:1Digital endpointsOther names

1,273 NURSE PRACTITIONER in DE

Provider Addresses for CAROLINE N MBUGUA

  • 157 TUCKAHOE LN

    NEWARK, DE 19702

    Phone: (617) 365-2164

    Type: Mailing

  • 4 PEDDLERS ROW UNIT 391

    NEWARK, DE 197021525

    Phone: (617) 365-2164

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-02-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240229002787INurse PractitionerDETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19702)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2466727755View full group profile
NameSpecialtyState
-PA
Internal Medicine, Cardiovascular Disease (Cardiology)DE
Nurse PractitionerDE
-PA
Family PracticeDE
Nurse PractitionerDE
Nurse PractitionerDE
Family PracticeMD
Nurse PractitionerDE
Internal MedicineDE

Reviews

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Frequently asked questions

What number should I use to identify CAROLINE N MBUGUA for billing?
Administrative and clinical systems typically use NPI 1174398945 for CAROLINE N MBUGUA.
Is CAROLINE N MBUGUA currently accepting referrals based on NPI status?
Registry metadata lists CAROLINE N MBUGUA as active.
What type of care does CAROLINE N MBUGUA provide?
CAROLINE N MBUGUA's profile centers on Gerontology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is CAROLINE N MBUGUA tied to Newark, Delaware?
If you are local to Newark, Delaware, CAROLINE N MBUGUA may be relevant to your search.
Can I export CAROLINE N MBUGUA's record?
You can download the official NPPES record; we summarize key fields for readability.

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