JULIAN NGENDO MIRU PMHNP
NPI 1073306452
Nurse Practitioner - Psychiatric/Mental Health in Worcester, MA

Active since May 27, 2025PECOS EnrolledAccepts Medicare Assignment
17 QUAKER RD, WORCESTER, MA 01602(508) 410-4367 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Julian Ngendo Miru Pmhnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JULIAN NGENDO MIRU PMHNP (NPI 1073306452) is an individual psychiatric/mental health provider in Worcester, Massachusetts, licensed in Massachusetts (RN2266075) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1073306452
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJULIAN NGENDO MIRUCredential: PMHNP
Location Address17 QUAKER RDWorcester, MA 01602-2260
Mailing Address17 Quaker RdWorcester, MA 01602-2260 · (508) 410-4367
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMay 27, 2025
NPPES CertifiedMay 27, 2025
NPI 1073306452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in MA · RN2266075
17 QUAKER RD, Worcester, MA 01602

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

Julian Ngendo Miru 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 ID5597081679
PECOS Enrollment IDI20251219002582
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01602 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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Home Health
17 QUAKER RD
WORCESTER, MA 01602

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 Julian Miru's NPI number?

The NPI number for Julian Miru is 1073306452. It was assigned to this individual provider in the NPPES registry on May 27, 2025.

Where is Julian Miru located?

Julian Miru practices at 17 Quaker Rd, Worcester, MA 01602. The listed phone number is (508) 410-4367.

What is Julian Miru's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Julian Miru enrolled in Medicare?

Yes. Julian Miru 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.

When was this NPI record last updated?

The NPPES record for Julian Miru was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.