John Ngugi, CRNP-BC
NPI 1245638048 · Adult Health Nurse Practitioner · Pikesville, MD
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
John Ngugi, CRNP-BC is a Adult Health Nurse Practitioner provider in Pikesville, MD (NPI 1245638048).
Provider details
- NPI number
- 1245638048
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNP-BC
- Sex
- Male
- Sole proprietor
- Yes
- License
- R179125 (MD)
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 tenure28% of score
11 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
2,595 Medicare services, 2024 (ranked within specialty)
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 methodology.
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 | 1,292 | $95 |
| Subsequent Nursing Facility Care With Straightforward Level of Medical Decision Making, Per Day, If Using Time, 20 Minutes Or More99308 | 1,201 | $66 |
| Nursing Facility Discharge Day Management, 30 Minutes Or Less99315 | 63 | $70 |
| Subsequent Nursing Facility Care With Straightforward Level of Medical Decision Making, Per Day, If Using Time, 20 Minutes Or More99308 | 26 | $65 |
| Initial Nursing Facility Care With High Level of Medical Decision Making, Per Day, If Using Time, 50 Minutes Or More99306 | 13 | $158 |
Typical Medicare-allowed amounts for these services range $65–$158 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, 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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 29 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 80 | 33 |
| Oxycodone Hcl | 62 | 36 |
| Tramadol Hcl | 55 | 13 |
| Potassium Chloride | 41 | — |
| Gabapentin | 36 | 18 |
| Apixabanbrand: Eliquis | 36 | 14 |
| Furosemide | 35 | 16 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-12-10
- Last updated
- 2019-02-08
Frequently asked questions
- What is John Ngugi's NPI number?
- John Ngugi's National Provider Identifier (NPI) is 1245638048, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is John Ngugi's specialty?
- John Ngugi is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is John Ngugi located?
- John Ngugi's practice location on file with NPPES is 1314 Bedford Ave Ste 113, Pikesville, MD 21208-3737.
- What is John Ngugi's phone number?
- The practice phone number listed in the NPPES registry for John Ngugi is (480) 877-8780.
- Does John Ngugi accept Medicare?
- John Ngugi is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is John Ngugi's NPI active?
- Yes — John Ngugi's NPI (1245638048) is active in the NPPES registry as of the last update on 2019-02-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.