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JACQUELYNNE M KIMANI PMHNP
NPI 1043808454
Nurse Practitioner - Psychiatric/Mental Health in Worcester, MA

Active since January 02, 2021PECOS EnrolledAccepts Medicare Assignment
40 JACKSON ST STE 1050, WORCESTER, MA 01608(774) 420-8961 Get Directions Write a Review

NPPES record last updated: December 19, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 19, 2021, Dec 3, 2021, Jan 2, 2021 (3 updates tracked since 2021).

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

NPI1043808454
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJACQUELYNNE M KIMANICredential: PMHNP
Location Address40 JACKSON ST STE 1050Worcester, MA 01608-2313
Mailing Address40 Jackson St Ste 1050Worcester, MA 01608-2313 · (774) 420-8961
Phone(774) 420-8961
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 2, 2021
Last NPPES UpdateDecember 19, 20213 updates tracked since enumeration
NPPES CertifiedDecember 19, 2021
✔ NPI 1043808454 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 · RN2283682
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License RN2283682 (MA)
40 JACKSON ST STE 1050, Worcester, MA 01608
Open in Google Maps ↗

Secondary Practice Location 1

Location 1435 Shrewsbury StWorcester, MA 01604-1689 · Phone (508) 753-5554

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID8022489228
PECOS Enrollment IDI20230126001574
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.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
186 services32 patients

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.

New Patient
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

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.

What insurance does Jacquelynne Kimani accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Providence Health Plan 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.