GRACE MBUYA PMHNP
NPI 1104225341
Nurse Practitioner in Worcester, MA
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
Specialties & Licenses 3
Secondary Practice Locations 2
Other Identifiers 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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Grace Mbuya reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Worcester, MA 01603
- Reassigned Medicare billing, Arizona and Massachusetts enrollments
Leominster, MA 01453
- Reassigned Medicare billing, Massachusetts enrollment
- 124 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.
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.
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 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.
Which organizations bill Medicare for Grace Mbuya's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Grace Mbuya reassigns Medicare benefits to 2 organizations: Mind Healing & Wellness Center (Worcester, MA) and Community Health Connections, Inc. (Leominster, MA). 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 Grace Mbuya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Grace Mbuya accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc, Harvard Pilgrim Health Care and Taro Health 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 18 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.
# Grace Mbuya, PMHNP · NPI 1104225341
Nurse Practitioner physician in Worcester, Massachusetts. Individual provider, active in the CMS NPPES registry since August 13, 2014.
## Identity
- **NPI:** 1104225341 (Entity type: Individual)
- **Enumerated:** August 13, 2014
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** RN284646 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 120 STAFFORD ST, Worcester, MA 01603-1457
- **Phone:** (508) 344-7530
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Mind Healing & Wellness Center (NPI 1114675246, Worcester, MA); Community Health Connections, Inc. (NPI 1891953048, Leominster, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** April 11, 2025
- **Other identifiers:** Medicaid PIDSL110186617A (MA)
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Source: [NPI Profile](https://npiprofile.com/npi/1104225341) · Data from the CMS NPPES public registry.