JACQUELYNNE M KIMANI PMHNP
NPI 1043808454
Nurse Practitioner - Psychiatric/Mental Health in Worcester, MA
About Jacquelynne M Kimani Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELYNNE M KIMANI PMHNP (NPI 1043808454) is an individual psychiatric/mental health provider in Worcester, Massachusetts, licensed in Massachusetts (RN2283682) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Worcester, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
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
Jacquelynne M Kimani Pmhnp 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.
Medicare Billing Reassignments
2Medicare enrollment records show Jacquelynne Kimani reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Worcester, MA 01604
- Reassigned Medicare billing, Massachusetts enrollment
- 31 clinicians in this Medicare group
Shrewsbury, MA 01545
- Reassigned Medicare billing, Massachusetts enrollment
- 5 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
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 01608 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Jacquelynne Kimani's NPI number?
The NPI number for Jacquelynne Kimani is 1043808454. It was assigned to this individual provider in the NPPES registry on January 2, 2021.
Where is Jacquelynne Kimani located?
Jacquelynne Kimani practices at 40 Jackson St Ste 1050, Worcester, MA 01608. The listed phone number is (774) 420-8961.
What is Jacquelynne Kimani's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Jacquelynne Kimani enrolled in Medicare?
Yes. Jacquelynne Kimani 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 Jacquelynne Kimani's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacquelynne Kimani reassigns Medicare benefits to 2 organizations: Behavioral Healthcare Services (Worcester, MA) and Raymond Zhou MD PC (Shrewsbury, MA). 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 Jacquelynne Kimani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacquelynne Kimani accept?
Health plans from Harvard Pilgrim Health Care list Jacquelynne Kimani as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jacquelynne Kimani was last updated on December 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Jacquelynne M Kimani, PMHNP · NPI 1043808454
Psychiatric/Mental Health physician in Worcester, Massachusetts. Individual provider, active in the CMS NPPES registry since January 2, 2021.
## Identity
- **NPI:** 1043808454 (Entity type: Individual)
- **Enumerated:** January 2, 2021
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** RN2283682 (Massachusetts)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 40 JACKSON ST STE 1050, Worcester, MA 01608-2313
- **Phone:** (774) 420-8961
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Behavioral Healthcare Services (NPI 1346397437, Worcester, MA); Raymond Zhou MD PC (NPI 1831268820, Shrewsbury, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** December 19, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1043808454) · Data from the CMS NPPES public registry.