GRACE MBUYA PMHNP
NPI 1104225341
Nurse Practitioner in Worcester, MA

Active since August 13, 2014PECOS EnrolledAccepts Medicare Assignment
120 STAFFORD ST, WORCESTER, MA 01603(508) 344-7530 Get Directions Write a Review

NPPES record last updated: April 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 11, 2025, May 3, 2023, May 13, 2021 and 1 more (4 updates tracked since 2021).

About Grace Mbuya Pmhnp NPPES

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

GRACE MBUYA PMHNP (NPI 1104225341) is an individual nurse practitioner in Worcester, Massachusetts, licensed in Massachusetts (RN284646) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1104225341
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameGRACE MBUYACredential: PMHNP
Location Address120 STAFFORD STWorcester, MA 01603-1457
Mailing Address21 Sw CutoffNorthborough, MA 01532-2135 · (508) 344-7530
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 13, 2014
Last NPPES UpdateApril 11, 20254 updates tracked since enumeration
NPPES CertifiedApril 11, 2025
NPI 1104225341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MA · RN284646
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 284646 (MA)
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License RN284646 (MA), 316951 (AZ)
120 STAFFORD ST, Worcester, MA 01603

Secondary Practice Locations 2

Location 115333 N Pima RdScottsdale, AZ 85260-2783 · Phone (508) 344-7530 · Fax (508) 466-8282
Location 221 SW CutoffNorthborough, MA 01532-2135 · Phone (508) 344-7530

Other Identifiers 1

MedicaidPIDSL110186617AMA

Accepted 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

Grace Mbuya 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 ID1456770551
PECOS Enrollment IDI20201116001004, I20250515002685
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 01603 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 18

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

Physical Therapist
120 STAFFORD ST
WORCESTER, MA 01603
Dentist
120 STAFFORD ST, SUITE 201
WORCESTER, MA 01603
Physical Therapist
120 STAFFORD ST
WORCESTER, MA 01603
Occupational Therapist
120 STAFFORD ST
WORCESTER, MA 01603
Counselor
120 STAFFORD ST
WORCESTER, MA 01603
Clinic/Center (Mental Health (Including Community Mental Health Center))
120 STAFFORD ST
WORCESTER, MA 01603
Clinic/Center (Multi-Specialty)
120 STAFFORD ST
WORCESTER, MA 01603
Physical Therapist
120 STAFFORD ST
WORCESTER, MA 01603

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 Grace Mbuya's NPI number?

The NPI number for Grace Mbuya is 1104225341. It was assigned to this individual provider in the NPPES registry on August 13, 2014.

Where is Grace Mbuya located?

Grace Mbuya practices at 120 Stafford St, Worcester, MA 01603. The listed phone number is (508) 344-7530.

What is Grace Mbuya's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Grace Mbuya enrolled in Medicare?

Yes. Grace Mbuya 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 Grace Mbuya accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Arizona, Harvard Pilgrim Health Care, Oscar Health Plan, Inc. and Providence Health Plan and 1 other insurer list Grace Mbuya 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 Grace Mbuya was last updated on April 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.