IMMACULATE NGWE MBONY APRN
NPI 1043804990
Nurse Practitioner - Psychiatric/Mental Health in Lowell, MA

Active since February 22, 2021PECOS EnrolledAccepts Medicare Assignment
100 MERRIMACK ST, LOWELL, MA 01852(978) 455-0756 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 4, 2026, Feb 22, 2021 (2 updates tracked since 2021).

About Immaculate Ngwe Mbony Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IMMACULATE NGWE MBONY APRN (NPI 1043804990) is an individual psychiatric/mental health provider in Lowell, Massachusetts, licensed in Massachusetts (2289761) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1043804990
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameIMMACULATE NGWE MBONYCredential: APRN
Location Address100 MERRIMACK STLowell, MA 01852-1708
Mailing Address60 Kings Field RdDracut, MA 01826-1269 · (978) 726-2878
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 22, 2021
Last NPPES UpdateFebruary 4, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2026
✔ NPI 1043804990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MA · 2289761
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X · License AC007215 (MD)
100 MERRIMACK ST, Lowell, MA 01852

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Immaculate Ngwe Mbony Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365897733
PECOS Enrollment IDI20251218003165, I20251218003509
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Immaculate Mbony reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatry
160 ROCK HILL RD FL 1
Bala Cynwyd, PA 19004
  • Reassigned Medicare billing, Delaware enrollment
  • 41 clinicians in this Medicare group
Psychiatric/Mental Health
410 E MACPHAIL RD
Bel Air, MD 21014
  • Reassigned Medicare billing, Maryland and District of Columbia enrollments
  • Also billed through NPI 1598524308 (District of Columbia)
  • 114 clinicians in this Medicare group
Psychiatric/Mental Health
2232 E MONUMENT ST
Baltimore, MD 21205
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • 104 clinicians in this Medicare group
Pain Management
2232 E MONUMENT ST
Baltimore, MD 21205
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • 132 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
340 services175 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01852 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
100 MERRIMACK ST, SUITE 205-F
LOWELL, MA 01852
Developmental Therapist
100 MERRIMACK ST
LOWELL, MA 01852
Assistant Behavior Analyst
100 MERRIMACK ST
LOWELL, MA 01852
Counselor (Mental Health)
100 MERRIMACK ST
LOWELL, MA 01852
Nurse Practitioner (Psychiatric/Mental Health)
100 MERRIMACK ST
LOWELL, MA 01852
Social Worker
100 MERRIMACK ST
LOWELL, MA 01852
Counselor (Mental Health)
100 MERRIMACK ST
LOWELL, MA 01852
Counselor (School)
100 MERRIMACK ST
LOWELL, MA 01852

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Immaculate Mbony's NPI number?

The NPI number for Immaculate Mbony is 1043804990. It was assigned to this individual provider in the NPPES registry on February 22, 2021.

Where is Immaculate Mbony located?

Immaculate Mbony practices at 100 Merrimack St, Lowell, MA 01852. The listed phone number is (978) 455-0756.

What is Immaculate Mbony's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Immaculate Mbony enrolled in Medicare?

Yes. Immaculate Mbony is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Immaculate Mbony's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Immaculate Mbony reassigns Medicare benefits to 4 organizations: Vista Medical Services, Inc. (Bala Cynwyd, PA), Integrahealth LLC (Bel Air, MD), Spiritual Healing (Baltimore, MD) and Toller Enterprises LLC (Baltimore, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Immaculate Mbony's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Immaculate Mbony was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.