Kisima Healthcare LLC
NPI 1801755988ActiveOrganization· Nurse Practitioner, Gerontology· Bear, DE
Nurse Practitioner, Gerontology in Bear, Delaware, registered in NPPES in January 2026. The authorized official on file is Caroline Mbugua, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1801755988 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 15, 2026 |
| Last updated in NPPES | Jan 15, 2026 |
| Certified by provider | Jan 15, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Gerontology Primary | 363LG0600X | — | — |
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 Part B Supplier - Clinic/Group Practice (DE) |
|---|
Other Nurse Practitioner, Gerontology providers in Bear
- 1467171322