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MISS HELEN MACHARIA
NPI 1053568055
Nurse Practitioner - Psychiatric/Mental Health in Winchester, MA

Active since August 20, 2008PECOS EnrolledAccepts Medicare Assignment
10 GEORGE RD, WINCHESTER, MA 01890(617) 331-6016 Get Directions Write a Review

NPPES record last updated: September 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 8, 2021, Oct 3, 2019 (2 updates tracked since 2019).

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

NPI1053568055
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMISS HELEN MACHARIA
Location Address10 GEORGE RDWinchester, MA 01890-1122
Mailing Address5 Upton Hills LnMiddleton, MA 01949-1904 · (617) 331-6016
Phone(617) 331-6016
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 20, 2008
Last NPPES UpdateSeptember 8, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2021
✔ NPI 1053568055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MA · RN274041
Also ListedRegistered NurseTaxonomy 163W00000X · License 274041 (MA)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License RN274041 (MA)
10 GEORGE RD, Winchester, MA 01890
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Accepted Insurance

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

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.

PECOS PAC ID7416353511
PECOS Enrollment IDI20210914002727
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 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.

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.
65 services15 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
40 services14 patients

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.

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.

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.

What insurance does Helen Macharia accept?

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