Active NPI 1043437809 Individual Practitioner Female Practitioner

Lucy Wambui Muigai , RN, CNP

Nurse Practitioner • West Springfield, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Lucy Muigai, RN, CNP is a certified Nurse Practitioner practicing in West Springfield, MA. With approximately 15 years of clinical experience since completing medical education in 2011, Lucy Muigai delivers high-quality medical care to the local community at 103 MYRON ST.

Lucy Muigai maintains professional affiliations with Global Community Comprehensive Psychiatric Care, Behavioral Nutrition Inc, Worcester Internal Medicine, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, residence visit for established patient with moderate level of medical decision making, per day, if using time, at least, psychiatric diagnostic evaluation with medical services. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

103 Myron St
Suite A

West Springfield, MA 010891598

Telephone 4135921980

Fax 4134390100

Associated Practice Facility / Clinic

🏢 West Central Family & Counseling, Ltd Facility NPI 1801834205

Medicare Profile & Education

Medical School

Other

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in West Springfield, MA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs +2.0 yrs vs City Avg

City Avg: 13.0 Yrs

State Avg: 12.5 Yrs

Regional Practice Density

18 Specialists

Practicing in West Springfield, MA (3545 Statewide)

Telehealth Adoption Rate

5.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

44.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Muigai (15 Years) 15 Yrs

West Springfield Specialty Average (13.0 Years) 13.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	1,225	203	$158.42	$91.32
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	167	28	$244.65	$107.60
90792 Psychiatric diagnostic evaluation with medical services	62	61	$290.00	$165.32
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	40	35	$208.75	$129.96
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	37	20	$229.05	$130.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	829	126	$171.73	$91.78
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	827	135	$124.90	$64.07
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	175	44	$232.42	$109.65
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	42	32	$225.00	$131.83
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	36	26	$193.75	$65.70
99341 New patient home visit, typically 20 minutes	35	35	$98.14	$41.94
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	35	33	$218.14	$131.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	1,760	225	$175.00	$78.81
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	307	81	$125.00	$59.37
99336 Established patient assisted living visit, typically 40 minutes	116	29	$247.41	$116.67
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	80	61	$225.00	$115.97
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	34	30	$225.00	$116.08
99335 Established patient assisted living visit, typically 25 minutes	20	14	$200.00	$82.38
99327 New patient custodial care facility, group care, or assisted living visit, typically 1 hour	11	11	$350.00	$160.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	980	193	$174.67	$80.13
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	781	170	$113.32	$60.70
99336 Established patient assisted living visit, typically 40 minutes	94	28	$240.43	$118.92
99335 Established patient assisted living visit, typically 25 minutes	74	29	$167.57	$84.00
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	49	36	$225.00	$118.75
99318 Nursing facility annual assessment, typically 30 minutes	15	15	$200.00	$84.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	887	161	$100.00	$61.34
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	98	45	$186.12	$79.83
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	84	47	$103.62	$61.47
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	69	36	$204.21	$118.97
90792 Psychiatric diagnostic evaluation with medical services	22	19	$377.09	$140.90
99336 Established patient assisted living visit, typically 40 minutes	19	11	$250.00	$120.66
99306 Initial nursing facility visit, typically 45 minutes per day	13	13	$225.00	$147.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	930	165	$100.00	$58.80
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	381	121	$204.96	$81.03
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	302	114	$112.43	$59.55
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	70	43	$208.74	$119.72
99336 Established patient assisted living visit, typically 40 minutes	60	23	$239.91	$119.68
99306 Initial nursing facility visit, typically 45 minutes per day	33	32	$225.00	$142.12
99306 Initial nursing facility visit, typically 45 minutes per day	28	28	$245.25	$145.91
99335 Established patient assisted living visit, typically 25 minutes	18	13	$173.00	$84.05
90792 Psychiatric diagnostic evaluation with medical services	17	17	$284.00	$136.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	1,562	239	$100.96	$59.18
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	891	203	$209.38	$81.07
99336 Established patient assisted living visit, typically 40 minutes	229	36	$242.65	$119.68
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	122	72	$209.48	$120.39
99306 Initial nursing facility visit, typically 45 minutes per day	79	75	$239.35	$144.86
90792 Psychiatric diagnostic evaluation with medical services	28	28	$284.00	$131.62
99337 Established patient assisted living visit, typically 60 minutes	27	17	$302.19	$170.85
99335 Established patient assisted living visit, typically 25 minutes	23	13	$171.54	$83.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	2,606	432	$100.32	$59.07
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	663	169	$209.27	$79.79
99336 Established patient assisted living visit, typically 40 minutes	244	30	$241.91	$117.46
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	123	73	$209.74	$118.69
99337 Established patient assisted living visit, typically 60 minutes	77	26	$302.29	$167.86
99306 Initial nursing facility visit, typically 45 minutes per day	77	76	$229.56	$142.76
90792 Psychiatric diagnostic evaluation with medical services	29	28	$284.00	$126.57
90791 Psychiatric diagnostic evaluation	17	17	$284.00	$112.90
99335 Established patient assisted living visit, typically 25 minutes	12	11	$157.00	$82.29

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MA RN270439

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Registered Nurse - Psychiatric/Mental Health

NUCC Taxonomy Code: 163WP0808X

State License MA 270439

Definition to come...

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License MA RN270439

Definition to come...

Hospital & Practice Group Affiliations

Worcester Internal Medicine, Inc.

416 Belmont St, Worcester, MA 016041086

Phone: 5087566609

Behavioral Nutrition Inc

1266 Furnace Brook Pkwy, Quincy, MA 021694785

Phone: 6175957044

Global Community Comprehensive Psychiatric Care

416 Belmont St, Worcester, MA 016041086

Phone: 8577015425

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Stephanie Hudon , LICSW

Social Worker - Clinical

NPI 1003285669

Licensed Independent Clinical Social Worker

Jack Harari , MSW

Social Worker - Clinical

NPI 1013050848

Master of Social Work

Joyce Wise , LICSW

Social Worker - Clinical

NPI 1013241116

Licensed Independent Clinical Social Worker

Linda Manjarrez , CNS

Clinical Nurse Specialist

NPI 1023023744

Clinical Nurse Specialist

Ashley Bullen , CNP

Nurse Practitioner

NPI 1023408382

Certified Nurse Practitioner

Jacqueline Id-Deen

Social Worker

NPI 1023664539

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active April 27, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location April 27, 2015

Registered at 103 MYRON ST, SUITE A, WEST SPRINGFIELD, MA 010891598 (Tel: 4135921980)

📍

Updated Business Mailing Address April 27, 2015

Registered at 103 MYRON ST, SUITE A, WEST SPRINGFIELD, MA 010891598 (Tel: 4135921980)

👤

Provider Name / Credentials Updated April 27, 2015

Recorded as LUCY MUIGAI, RN, CNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 27, 2015

Registered Nurse (License #270439 in MA)

🟢

Initial NPI Registration & Enumeration April 20, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043437809

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 20, 2007

Last Update: April 27, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

103 Myron St, Suite A

West Springfield, MA 010891598

Phone: 4135921980

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.