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EVERLYNE NJOROGE CNP
NPI 1164011078
Nurse Practitioner - Acute Care in Worcester, MA

Active since January 14, 2021PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
281 LINCOLN ST, WORCESTER, MA 01605(508) 334-5979(508) 334-5232 Get Directions Write a Review

NPPES record last updated: March 22, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jan 3, 2022, Jan 14, 2021 (2 updates tracked since 2021).

About Everlyne Njoroge Cnp NPPES

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

EVERLYNE NJOROGE CNP (NPI 1164011078) is an individual acute care provider in Worcester, Massachusetts, licensed in Massachusetts (RN2327837) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS, is affiliated with Umass Memorial Medical Center/university Campus, and is a graduate of University Of Massachusetts Medical School (2020).

NPPES Registry Identity

NPI1164011078
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameEVERLYNE NJOROGECredential: CNP
Location Address281 LINCOLN STWorcester, MA 01605-2138
Mailing AddressPo Box 415348Boston, MA 02241-5348 · (800) 225-8885
Phone(508) 334-5979
Fax(508) 334-5232
Sole ProprietorNo
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2020
Enumeration DateJanuary 14, 2021
Last NPPES UpdateMarch 22, 20222 updates tracked since enumeration
NPPES CertifiedMarch 22, 2022
✔ NPI 1164011078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in MA · RN2327837
Also ListedNurse PractitionerTaxonomy 363L00000X · License RN2327837 (MA)
281 LINCOLN ST, Worcester, MA 01605
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Everlyne Njoroge Cnp 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 ID143635409
PECOS Enrollment IDI20210218001047
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 8

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
805 services171 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
291 services223 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
276 services232 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
254 services229 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
150 services133 patients
Biopsy of related skin growth, each additional growth 11103
A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.
73 services52 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

Physician 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.

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.

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.

97.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.09
Promoting Interoperability100
Improvement Activities40

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.

STACY AILEEN MEULENAERE OTR/L
Occupational Therapist
281 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 334-1000
RACHEL NOONE PA-C
Physician Assistant
281 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 334-6158
DR. THOMAS EVANS M.D.
Emergency Medicine
281 LINCOLN ST, MED STAFF SVCS
WORCESTER, MA 01605
Worcester County (508) 334-8015
RAJIV BALASURIYA M.D.
Family Medicine
281 LINCOLN ST, MEDICAL STAFF SVCS
WORCESTER, MA 01605
Worcester County (508) 334-8015
DR. DANIEL LEE M.D., PHD
Internal Medicine (Medical Oncology)
281 LINCOLN ST, MEDICAL STAFF SVCS
WORCESTER, MA 01605
Worcester County (508) 334-1131
MEGAN ELIZABETH KLEIN MS, CCC-SLP
Speech-Language Pathologist
281 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 334-1000
ANKUR SHAH NARAIN MD
Orthopaedic Surgery
281 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 334-1955
THOMAS MICHAEL CERVANTES
Plastic Surgery (Surgery of the Hand)
281 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 334-1000

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 Everlyne Njoroge's NPI number?

The NPI number for Everlyne Njoroge is 1164011078. It was assigned to this individual provider in the NPPES registry on January 14, 2021.

Where is Everlyne Njoroge located?

Everlyne Njoroge practices at 281 Lincoln St, Worcester, MA 01605. The listed phone number is (508) 334-5979.

What is Everlyne Njoroge's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Everlyne Njoroge enrolled in Medicare?

Yes. Everlyne Njoroge 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 Everlyne Njoroge accept?

Health plans from Anthem Blue Cross and Blue Shield list Everlyne Njoroge 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 Everlyne Njoroge affiliated with any hospitals?

According to CMS data, Everlyne Njoroge is affiliated with Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for Everlyne Njoroge was last updated on March 22, 2022. 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.