Caroline Mbugua, FNP-BC
NPI 1265139281 · Family Nurse Practitioner · Charlotte, NC
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Caroline Mbugua, FNP-BC is a Family Nurse Practitioner provider in Charlotte, NC (NPI 1265139281).
Provider details
- NPI number
- 1265139281
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-BC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 185574 (NC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
3 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
1,580 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 | 525 | $85 |
| Chronic Care Management Services for Two Or More Chronic Conditions, Additional 20 Minutes of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month99439 | 308 | $38 |
| Chronic Care Management Services, First 20 Minutes of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month99490 | 255 | $50 |
| Residence Visit for Established Patient With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 40 Minutes99349 | 218 | $102 |
| Subsequent Nursing Facility Care With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 30 Minutes99309 | 119 | $85 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 26 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Gabapentin | 80 | 16 |
| Mirtazapine | 58 | 13 |
| Omeprazole | 35 | 12 |
| Amlodipine Besylate | 31 | — |
| Furosemide | 29 | — |
| Oxycodone Hcl | 23 | — |
| Tramadol Hcl | 19 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$19 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
Additional practice locations (1)
- 101 Cabarrus Ave E Ste 200Concord, NC 28025-3781Phone: (855) 743-2247
Registry dates
- Enumerated
- 2023-02-09
- Last updated
- 2025-04-24
- Certified
- 2025-04-24
Frequently asked questions
- What is Caroline Mbugua's NPI number?
- Caroline Mbugua's National Provider Identifier (NPI) is 1265139281, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Caroline Mbugua's specialty?
- Caroline Mbugua is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Caroline Mbugua located?
- Caroline Mbugua's practice location on file with NPPES is 6824 Harrisburg Rd, Charlotte, NC 28227-3389.
- What is Caroline Mbugua's phone number?
- The practice phone number listed in the NPPES registry for Caroline Mbugua is (704) 870-6014.
- Does Caroline Mbugua accept Medicare?
- Caroline Mbugua is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Caroline Mbugua's NPI active?
- Yes — Caroline Mbugua's NPI (1265139281) is active in the NPPES registry as of the last update on 2025-04-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.