Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Isaac Ndungu, CNP

Individual provider Nurse Practitioner · NPI 1174900690

Isaac Ndungu, CNP is a Nurse Practitioner in West Springfield, Massachusetts. Qualified in 2014, 12 years ago. Licensed in Massachusetts.

Years since qualifying
12
Licensed in
MA
In the registry since
2015
Specialties on file
2
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

103 Myron St Ste A
West Springfield, MA 01089-1598
Phone: (413) 592-1980
Fax: (413) 439-0100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence RN2283072 (MA)
Nurse Practitioner Taxonomy 363L00000X · Licence RN2283072 (MA)

Record details

NPI number1174900690
Entity typeIndividual (Type 1)
GenderMale
Credentials CNP
Sole proprietorNo
NPI enumeratedMay 5, 2015
Last updated in NPPESMay 5, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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