John Kamau Ngugi, CRNP-BC
NPI 1245638048ActiveIndividual· Nurse Practitioner, Adult Health· Pikesville, MD
Nurse Practitioner, Adult Health (CRNP-BC) with Optimize Medical Group and 1 other group, practicing in Pikesville, Maryland. In 2024 Medicare paid $168,161 for 847 patients, and Part D covered 1,212 of their prescriptions, 83% of them generic.
Overview
| NPI | 1245638048 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CRNP-BC |
| Sole proprietor | Yes |
| NPI issued | Dec 10, 2014 |
| Last updated in NPPES | Feb 8, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Adult Health Primary | 363LA2200X | R179125 | MD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (DC); Practitioner - Nurse Practitioner (MD) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 847 |
|---|---|
| Services billed | 2,611 across 8 procedure codes |
| Paid by Medicare | $168,161 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,212 · 1,226 30-day fills |
|---|---|
| Patients | 222 |
| Total drug cost | $75,006 |
| Generic share | 83% of claims |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Optimize Medical GroupPikesville, MD · 32 clinicians
- Access Health LLCFrostburg, MD · 9 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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