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

Wilson Gachugu Ndungu, NP

Individual provider Gerontology Nurse Practitioner · NPI 1013475599

Wilson Gachugu Ndungu, NP is a Nurse Practitioner in Hazelwood, Missouri. Qualified in 2018, 8 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
8
Licensed in
IL, MO
In the registry since
2019
Specialties on file
7
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

4 Hazelwood Ln
Hazelwood, MO 63042-2711
Phone: (314) 425-9453
Show map & directions

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

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 209020137 (IL)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 2019003626 (MO)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 209020137 (IL)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 2019003626 (MO)
Nurse Practitioner Taxonomy 363L00000X · Licence 2019003626 (MO)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 2019003626 (MO)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 209020137 (IL)

Record details

NPI number1013475599
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorYes
NPI enumeratedMarch 4, 2019
Last updated in NPPESApril 14, 2026
Certification dateApril 14, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare