GILEEN WAMBUA (APN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1194503748

GILEEN WAMBUA (APN) is a healthcare provider. based in West orange, New Jersey. specializing in NURSE PRACTITIONER. They hold the professional credentials APN. They hold a License No. 26NJ14914800 (NJ). The NPI Number for GILEEN WAMBUA (APN) is 1194503748

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
GILEEN WAMBUA (APN)
NPI
1194503748
Phone
Not provided
Address
5 HIGH ST
Enumeration Date
15 September 2023
Last Update Date
15 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9732956335
Graduation Year
2022 (4 years ago)
PAC ID
1456885821
Group Practice PAC ID
7719013267
Professional Enrollment ID
I20241107001126
Address ID
NJ079271106CE14XXXAVEX303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

7,574 NURSE PRACTITIONER in NJ

Provider Addresses for GILEEN WAMBUA (APN)

  • 5 HIGH ST

    WEST ORANGE, NJ 070526101

    Phone:

    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 $125.

Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.

Last reported payment date: 2024-10-21 • Largest payer in this snapshot: Supernus Pharmaceuticals, Inc. ($125).

Total Amount

$125

General + Research + Ownership

Payments

1

Total payment records

General Amount

$125

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-21

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: 2024-11-07

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
I20241107001126INurse PractitionerNJTBD

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 07052)

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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: 7719013267View full group profile
NameSpecialtyState
Nurse PractitionerNJ
Nurse PractitionerNJ
Nurse PractitionerNJ
Physician AssistantNJ
-NJ
Nurse PractitionerPA
Nurse PractitionerNJ
Physician AssistantNJ
-NJ
Nurse PractitionerNJ

Reviews

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Frequently asked questions

What federal number belongs to GILEEN WAMBUA (APN)?
The federal identifier for GILEEN WAMBUA (APN) is NPI 1194503748.
Is GILEEN WAMBUA (APN) active in the national directory?
GILEEN WAMBUA (APN)'s public NPI profile is in an active state.
Can you summarize GILEEN WAMBUA (APN)'s specialty in plain language?
Clinically, the directory lists GILEEN WAMBUA (APN) with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place GILEEN WAMBUA (APN)?
The snapshot lists West Orange, New Jersey for GILEEN WAMBUA (APN); download NPPES for the complete set.
Is GILEEN WAMBUA (APN) a real provider?
This page reflects official NPPES data for NPI 1194503748. Always confirm identity and privileges with the practice and licensing boards.

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