Mary Waweru, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in S Pasadena, California. She graduated from nursing school in 2024 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is
1499 Huntington Dr Ste 101, S Pasadena, California. You can reach out to her office (for appointments etc.) via phone at
(402) 617-4471.
Mary Waweru is licensed to practice in California (license number NP95033232) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1811662570.
Provider's Profile
| Full Name | Mary Waweru |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner |
|---|
| Experience | 2 Years |
|---|
| Location | 1499 Huntington Dr Ste 101, S Pasadena, California |
|---|
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Mary Waweru graduated from nursing school in 2024
NPI Data:
- NPI Number: 1811662570
- Provider Enumeration Date: 08/13/2021
- Last Update Date: 08/26/2026
Medicare PECOS Information:
- PECOS PAC ID: 3274001094
- Enrollment ID: I20260508003691
Medical Identifiers
Medical identifiers for Mary Waweru such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811662570 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 313383 (Arizona) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | NP95033232 (California) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mary Waweru allows following entities to bill medicare on her behalf.
| Entity Name | Canyon Haven Psychiatry LLC |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1275488082
PECOS PAC ID: 2365910189
Enrollment ID: O20260508003654 |
|---|
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mary Waweru is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mary Waweru,
1499 Huntington Dr Ste 101,
S Pasadena, CA 91030-5444
Ph: (402) 617-4471 | Mary Waweru,
1499 Huntington Dr Ste 101,
S Pasadena, CA 91030-5444
Ph: (402) 617-4471 |
Reviews and Comments