GRACE NJERI NGUMI PMHNP-BC
NPI 1174137434
Nurse Practitioner - Psychiatric/Mental Health in Worcester, MA
About Grace Njeri Ngumi Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRACE NJERI NGUMI PMHNP-BC (NPI 1174137434) is an individual psychiatric/mental health provider in Worcester, Massachusetts, licensed in Massachusetts (RN261116) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Sturbridge, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Grace Njeri Ngumi Pmhnp-bc 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
5Medicare enrollment records show Grace Ngumi reassigns Medicare billing to 5 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
Worcester, MA 01604
- Reassigned Medicare billing, Massachusetts enrollment
- 31 clinicians in this Medicare group
Sturbridge, MA 01566
- Reassigned Medicare billing, Massachusetts enrollment
- 13 clinicians in this Medicare group
Holyoke, MA 01040
- Reassigned Medicare billing, Massachusetts enrollment
- 77 clinicians in this Medicare group
Lynchburg, VA 24504
- Reassigned Medicare billing, Massachusetts enrollment
- 250 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
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.
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.
Other Providers at the Same Location NPPES
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 Grace Ngumi's NPI number?
The NPI number for Grace Ngumi is 1174137434. It was assigned to this individual provider in the NPPES registry on September 3, 2020. The provider is also known as Grace Ndungu.
Where is Grace Ngumi located?
Grace Ngumi practices at 100 Grove St Ste 217C, Worcester, MA 01605. The listed phone number is (774) 431-0272.
What is Grace Ngumi's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Grace Ngumi enrolled in Medicare?
Yes. Grace Ngumi 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 Ngumi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Grace Ngumi reassigns Medicare benefits to 5 organizations: Bright Act Behavioral Center LLC (Worcester, MA), Behavioral Healthcare Services (Worcester, MA), Massachusetts Psychiatric Services, LLC (Sturbridge, MA), Holyoke Capital Jv, LLC (Holyoke, MA) and Thrive Counseling LLC (Lynchburg, VA). 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 Ngumi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Grace Ngumi accept?
Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Grace Ngumi 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 Ngumi was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 Njeri Ngumi, PMHNP-BC · NPI 1174137434
Psychiatric/Mental Health physician in Worcester, Massachusetts. Individual provider, active in the CMS NPPES registry since September 3, 2020.
## Identity
- **NPI:** 1174137434 (Entity type: Individual)
- **Enumerated:** September 3, 2020
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** RN261116 (Massachusetts)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 100 GROVE ST STE 217C, Worcester, MA 01605-2647
- **Phone:** (774) 431-0272
## 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:** 5 organizations under Medicare reassignment (form CMS-855R): Bright Act Behavioral Center LLC (NPI 1568120343, Worcester, MA); Behavioral Healthcare Services (NPI 1346397437, Worcester, MA); Massachusetts Psychiatric Services, LLC (NPI 1265989453, Sturbridge, MA); Holyoke Capital Jv, LLC (NPI 1649856618, Holyoke, MA); Thrive Counseling LLC (NPI 1215181300, Lynchburg, VA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** June 8, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1174137434) · Data from the CMS NPPES public registry.