Gileen Wambua, APN
NPI 1194503748 · Psychiatric/Mental Health Nurse Practitioner · West Orange, NJ
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gileen Wambua, APN is a Psychiatric/Mental Health Nurse Practitioner provider in West Orange, NJ (NPI 1194503748).
Provider details
- NPI number
- 1194503748
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 26NJ14914800 (NJ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
2 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
101 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Nursing Facility Care With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 30 Minutes99309 | 63 | $98 |
| Residence Visit for Established Patient With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 40 Minutes99349 | 25 | $116 |
| Psychiatric Diagnostic Evaluation With Medical Services90792 | 13 | $153 |
Typical Medicare-allowed amounts for these services range $98–$153 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$125 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-09-15
- Last updated
- 2023-09-15
- Certified
- 2023-09-15
Frequently asked questions
- What is Gileen Wambua's NPI number?
- Gileen Wambua's National Provider Identifier (NPI) is 1194503748, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gileen Wambua's specialty?
- Gileen Wambua is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Gileen Wambua located?
- Gileen Wambua's practice location on file with NPPES is 5 High St, West Orange, NJ 07052-6101.
- What is Gileen Wambua's phone number?
- The practice phone number listed in the NPPES registry for Gileen Wambua is (973) 224-7956.
- Does Gileen Wambua accept Medicare?
- Gileen Wambua is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Gileen Wambua's NPI active?
- Yes — Gileen Wambua's NPI (1194503748) is active in the NPPES registry as of the last update on 2023-09-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.