Monica Mbugua
NPI 1821700493 · Registered Nurse · Winchendon, MA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Monica Mbugua is a Registered Nurse provider in Winchendon, MA (NPI 1821700493).
Provider details
- NPI number
- 1821700493
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- RN2311984 (MA)
Specialties & taxonomies
Nursing Service Providers
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
3 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
259 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 136 | $78 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 48 | $109 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 45 | $95 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 30 | $143 |
Typical Medicare-allowed amounts for these services range $78–$143 (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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 18 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Gavilyte-G | 409 | 395 |
| Omeprazole | 140 | 68 |
| Sucralfate | 75 | 38 |
| Famotidine | 63 | 27 |
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Peg-3350 and Electrolytes | 49 | 47 |
| Lactulose | 49 | 34 |
| Sodium Chloride/Nahco3/Kcl/Pegbrand: Peg 3350-Electrolyte | 47 | 46 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$188 across 2 records (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
- 2022-12-15
- Last updated
- 2023-02-22
- Certified
- 2023-02-22
Frequently asked questions
- What is Monica Mbugua's NPI number?
- Monica Mbugua's National Provider Identifier (NPI) is 1821700493, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Monica Mbugua's specialty?
- Monica Mbugua is listed in the NPPES registry with a primary specialty of Registered Nurse (Nursing Service Providers).
- Where is Monica Mbugua located?
- Monica Mbugua's practice location on file with NPPES is 55 Hospital Dr, Winchendon, MA 01475-1820.
- What is Monica Mbugua's phone number?
- The practice phone number listed in the NPPES registry for Monica Mbugua is (978) 297-2311.
- Does Monica Mbugua accept Medicare?
- Monica Mbugua is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Monica Mbugua's NPI active?
- Yes — Monica Mbugua's NPI (1821700493) is active in the NPPES registry as of the last update on 2023-02-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.