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

Mary Ngendo Ngugi

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1972106615

Mary Ngendo Ngugi is a Nurse Practitioner in South Bend, Indiana. Qualified in 2019, 7 years ago. Practices with Oaklawn Psychiatric Center Inc, a 68-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Indiana.

Years since qualifying
7
Licensed in
IN
In the registry since
2020
Specialties on file
2

Practice location Address checks out

415 E Madison St
South Bend, IN 46617-2322
Phone: (574) 283-1234
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 71010469A (IN)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 71010469B (IN)

Record details

NPI number1972106615
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 17, 2020
Last updated in NPPESNovember 17, 2020
Certification dateNovember 17, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Oaklawn Psychiatric Center Inc — 68 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in South Bend