Grace Njeri Ngumi, PMHNP-BC - Medicare Nurse Practitioner in Worcester, MA

Grace Njeri Ngumi, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Worcester, Massachusetts. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Thrive Counseling Llc, Behavioral Healthcare Services and her current practice location is 435 Shrewsbury St, Worcester, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (508) 753-5554.

Grace Njeri Ngumi is licensed to practice in Massachusetts (license number RN261116) 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 1174137434.

Contact Information

Grace Njeri Ngumi, PMHNP-BC
435 Shrewsbury St,
Worcester, MA 01604-1689
(508) 753-5554
(508) 752-7245

Map and Direction




Provider's Profile

Full NameGrace Njeri Ngumi
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location435 Shrewsbury St, Worcester, Massachusetts
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Grace Njeri Ngumi graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1174137434
  • Provider Enumeration Date: 09/03/2020
  • Last Update Date: 12/18/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2466865027
  • Enrollment ID: I20201229001127

Medical Identifiers

Medical identifiers for Grace Njeri Ngumi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174137434NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health RN261116 (Massachusetts)Primary
363LP0808XNurse Practitioner - Psychiatric/mental Health 2020039628 (Massachusetts)Secondary

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. Grace Njeri Ngumi allows following entities to bill medicare on her behalf.
Entity NameThrive Counseling Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215181300
PECOS PAC ID: 0749458420
Enrollment ID: O20110725000191
Entity NameBehavioral Healthcare Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346397437
PECOS PAC ID: 3779818828
Enrollment ID: O20190711000566
Entity NameBright Act Behavioral Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568120343
PECOS PAC ID: 1658741830
Enrollment ID: O20230104001403

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. Grace Njeri Ngumi 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 AddressPractice Location Address
Grace Njeri Ngumi, PMHNP-BC
435 Shrewsbury St,
Worcester, MA 01604-1689

Ph: (508) 753-5554
Grace Njeri Ngumi, PMHNP-BC
435 Shrewsbury St,
Worcester, MA 01604-1689

Ph: (508) 753-5554

Reviews and Comments


Nurse Practitioner Nurses in Worcester, MA

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Phone: 508-334-6470    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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