DR. EDITH N/A CLAROS
NPI 1063970234
Nurse Practitioner - Psychiatric/Mental Health in Worcester, MA
About Dr. Edith N/a Claros NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. EDITH N/A CLAROS (NPI 1063970234) is an individual psychiatric/mental health provider in Worcester, Massachusetts, licensed in Massachusetts (RN234283) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Umass Memorial Health - Harrington Hospital, and maintains a secondary practice location in Southbridge.
NPPES Registry Identity
Specialties & Licenses
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
Dr. Edith N/a Claros 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
4Medicare enrollment records show Edith Claros reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Worcester, MA 01605
- Reassigned Medicare billing, Massachusetts enrollment
- 147 clinicians in this Medicare group
Worcester, MA 01655
- Reassigned Medicare billing, Florida and Massachusetts enrollments
- 6 clinicians in this Medicare group
Southbridge, MA 01550
- Reassigned Medicare billing, Massachusetts enrollment
- 68 clinicians in this Medicare group
Providence, RI 02906
- Reassigned Medicare billing, Massachusetts enrollment
- 4 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Umass Memorial Health - Harrington Hospital
Acute Care Hospitals · Southbridge, MAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 01605 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WORCESTER, MA 01605
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 Edith Claros's NPI number?
The NPI number for Edith Claros is 1063970234. It was assigned to this individual provider in the NPPES registry on March 6, 2019.
Where is Edith Claros located?
Edith Claros practices at 19 Tacoma St, Worcester, MA 01605. The listed phone number is (508) 852-1805.
What is Edith Claros's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Edith Claros enrolled in Medicare?
Yes. Edith Claros 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 Edith Claros's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Edith Claros reassigns Medicare benefits to 4 organizations: Edward M. Kennedy Community Health Center, Inc (Worcester, MA), Umass Memorial Medical Group Inc (Worcester, MA), Umass Memorial Health-Harrington Hospital Inc (Southbridge, MA) and New View Health And Wellness LLC (Providence, RI). 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 Edith Claros's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Edith Claros accept?
Health plans from Harvard Pilgrim Health Care and Taro Health list Edith Claros 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.
Is Edith Claros affiliated with any hospitals?
According to CMS data, Edith Claros is affiliated with Umass Memorial Health - Harrington Hospital.
When was this NPI record last updated?
The NPPES record for Edith Claros was last updated on March 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Dr. Edith N/a Claros · NPI 1063970234
Psychiatric/Mental Health physician in Worcester, Massachusetts. Individual provider, active in the CMS NPPES registry since March 6, 2019.
## Identity
- **NPI:** 1063970234 (Entity type: Individual)
- **Enumerated:** March 6, 2019
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** RN234283 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 19 TACOMA ST, Worcester, MA 01605-3516
- **Phone:** (508) 852-1805
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Edward M. Kennedy Community Health Center, Inc (NPI 1609842152, Worcester, MA); Umass Memorial Medical Group Inc (NPI 1760445373, Worcester, MA); Umass Memorial Health-Harrington Hospital Inc (NPI 1790780047, Southbridge, MA); New View Health And Wellness LLC (NPI 1952947772, Providence, RI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of South Alabama College Of Medicine, class of 2018
## Record status
- **NPPES last updated:** March 6, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1063970234) · Data from the CMS NPPES public registry.