MISS HELEN MACHARIA
NPI 1053568055
Nurse Practitioner - Psychiatric/Mental Health in Winchester, MA
About Miss Helen Macharia NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISS HELEN MACHARIA (NPI 1053568055) is an individual psychiatric/mental health provider in Winchester, Massachusetts, licensed in Massachusetts (RN274041) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 3
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
Miss Helen Macharia 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 Reassignment
Medicare enrollment records show Helen Macharia reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Middleton, MA 01949
- Reassigned Medicare billing, Massachusetts enrollment
- 3 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 01890 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 Helen Macharia's NPI number?
The NPI number for Helen Macharia is 1053568055. It was assigned to this individual provider in the NPPES registry on August 20, 2008.
Where is Helen Macharia located?
Helen Macharia practices at 10 George Rd, Winchester, MA 01890. The listed phone number is (617) 331-6016.
What is Helen Macharia's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Helen Macharia enrolled in Medicare?
Yes. Helen Macharia 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 organization bills Medicare for Helen Macharia's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Helen Macharia reassigns Medicare benefits to Cagway Health And Wellness LLC (Middleton, MA). The 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 Helen Macharia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Helen Macharia accept?
Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Helen Macharia 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 Helen Macharia was last updated on September 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Miss Helen Macharia · NPI 1053568055
Psychiatric/Mental Health physician in Winchester, Massachusetts. Individual provider, active in the CMS NPPES registry since August 20, 2008.
## Identity
- **NPI:** 1053568055 (Entity type: Individual)
- **Enumerated:** August 20, 2008
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** RN274041 (Massachusetts)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 10 GEORGE RD, Winchester, MA 01890-1122
- **Phone:** (617) 331-6016
## 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:** Cagway Health And Wellness LLC (NPI 1134852395, Middleton, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** September 8, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1053568055) · Data from the CMS NPPES public registry.