MARY IRENE WANGECHI – Gerontology Nurse Practitioner, NPI 1295323277

MARY IRENE WANGECHI is a healthcare provider. based in Golden valley, Minnesota. specializing in NURSE PRACTITIONER. They hold a License No. 6895 (MN). The NPI Number for MARY IRENE WANGECHI is 1295323277

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
MARY IRENE WANGECHI
NPI
1295323277
Phone
(763) 267-8701
Address
1415 LILAC DR N STE 190
Enumeration Date
6 January 2021
Last Update Date
6 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9523453213
Graduation Year
2018 (8 years ago)
PAC ID
2567876006
Group Practice PAC ID
4385908201
Professional Enrollment ID
I20210125002621
Address ID
MN554161670ST5320XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

5,748 NURSE PRACTITIONER in MN

Provider Addresses for MARY IRENE WANGECHI

  • 1415 LILAC DR N STE 190

    GOLDEN VALLEY, MN 554224544

    Phone: (763) 267-8701

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $50.

Total Amount is formed as General ($50) + Research ($0) + Ownership ($0) = $50.

Last reported payment date: 2023-08-31 • Largest payer in this snapshot: Neurocrine BioSciences, Inc. ($50).

Total Amount

$50

General + Research + Ownership

Payments

1

Total payment records

General Amount

$50

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-31

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2021-01-25

PECOS data refreshed: 2026-06-15

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
I20210125002621INurse PractitionerMNTBD

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
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes23979$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes15874$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes15360$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes12848$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes11660$0
View full utilization report →

Insurance plans in this area (ZIP 55422)

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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: 4385908201View full group profile
NameSpecialtyState
Nurse PractitionerMN
Emergency MedicineMN
-MN
Family PracticeMN
Nurse PractitionerMN
Nurse PractitionerMN
Nurse PractitionerMN
Nurse PractitionerMN
Nurse PractitionerMN
Nurse PractitionerMN

Reviews

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Frequently asked questions

Can I verify MARY IRENE WANGECHI with an NPI only?
You can start verification with NPI 1295323277 for MARY IRENE WANGECHI, then check state licensing separately.
Is MARY IRENE WANGECHI listed as active for patients and plans?
The listing shows MARY IRENE WANGECHI as active in the NPI system.
What taxonomy line describes MARY IRENE WANGECHI?
For research purposes, treat MARY IRENE WANGECHI as Gerontology Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect MARY IRENE WANGECHI on a map?
Expect Golden Valley, Minnesota as a primary anchor for MARY IRENE WANGECHI unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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