MR. ALEXANDRIA W. MWANGA (DNP, FNP-C) – Nurse Practitioner, NPI 1336815562

MR. ALEXANDRIA W. MWANGA (DNP, FNP-C) is a healthcare provider. based in Meridian, Idaho. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP, FNP-C. They hold a License No. 69372 (ID). The NPI Number for MR. ALEXANDRIA W. MWANGA (DNP, FNP-C) is 1336815562

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
MR. ALEXANDRIA W. MWANGA (DNP, FNP-C)
NPI
1336815562
Phone
(986) 666-3866
Address
1965 S EAGLE RD STE 180
Enumeration Date
18 August 2021
Last Update Date
27 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2088885848
Graduation Year
2021 (5 years ago)
PAC ID
7517352180
Group Practice PAC ID
0749327880
Professional Enrollment ID
I20220317000466
Address ID
ID836427692ME2321XSTXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:4State licenses:1Digital endpointsOther names

1,802 NURSE PRACTITIONER in ID

Provider Addresses for MR. ALEXANDRIA W. MWANGA (DNP, FNP-C)

  • 1965 S EAGLE RD STE 180

    MERIDIAN, ID 836429246

    Phone: (986) 666-3866

    Fax: (986) 666-3038

    Type: Mailing

  • 1965 S Eagle Rd Ste 180

    Meridian, ID 836429246

    Phone: (986) 666-3866

    Fax: (986) 666-3038

    Type: Location

  • 303 N Allumbaugh St Ste 335

    Boise, ID 837049208

    Phone: (208) 888-5848

    Fax: (208) 888-0884

    Type: Location

  • 4300 E FLAMINGO AVE

    NAMPA, ID 836873138

    Phone:

    Type: Mailing

  • 2321 E GALA ST STE 3

    MERIDIAN, ID 836427692

    Phone: (208) 888-5848

    Fax: (208) 888-0884

    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: 2026-03-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20220317000466INurse PractitionerIDTBD
I20260309002297INurse PractitionerUTTBD
I20260309002531INurse PractitionerWATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes34350$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes14828$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2323$0
99239Hospital discharge day management, more than 30 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 83642)

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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: 0749327880View full group profile
NameSpecialtyState
-ID
Physician AssistantAZ
Nurse PractitionerNE
Nurse PractitionerMA
Nurse PractitionerID
Nurse PractitionerID
Nurse PractitionerID
Psychiatry, Addiction MedicineID
Nurse PractitionerID
Clinical Social WorkerID

Reviews

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Frequently asked questions

What is the 10-digit NPI for MR. ALEXANDRIA W. MWANGA (DNP, FNP-C)?
MR. ALEXANDRIA W. MWANGA (DNP, FNP-C) — NPI 1336815562 — is the standard way to identify this listing.
Does CMS list MR. ALEXANDRIA W. MWANGA (DNP, FNP-C) as active?
Yes — MR. ALEXANDRIA W. MWANGA (DNP, FNP-C) is active in the NPI listing used on this page.
What is MR. ALEXANDRIA W. MWANGA (DNP, FNP-C)'s specialty?
The listing groups MR. ALEXANDRIA W. MWANGA (DNP, FNP-C) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does MR. ALEXANDRIA W. MWANGA (DNP, FNP-C) serve?
MR. ALEXANDRIA W. MWANGA (DNP, FNP-C)'s listing highlights Meridian, Idaho; more addresses can appear in NPPES.
Why does MR. ALEXANDRIA W. MWANGA (DNP, FNP-C) have multiple addresses?
6 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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