TRACY OTUBU
NPI 1194516773
Nurse Practitioner - Psychiatric/Mental Health in Needham, MA

Active since May 14, 2025PECOS EnrolledAccepts Medicare Assignment
322 RESERVOIR ST, NEEDHAM, MA 02494(877) 920-6583 Get Directions Write a Review

NPPES record last updated: January 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 13, 2026, Jun 3, 2025, May 21, 2025 and 1 more (4 updates tracked since 2025).

About Tracy Otubu NPPES

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

TRACY OTUBU (NPI 1194516773) is an individual psychiatric/mental health provider in Needham, Massachusetts, licensed in Massachusetts (RN2365786) 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

NPI1194516773
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameTRACY OTUBU
Location Address322 RESERVOIR STNeedham, MA 02494-3169
Mailing Address867 Boylston St Fl 5Boston, MA 02116-2774
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateMay 14, 2025
Last NPPES UpdateJanuary 13, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2026
NPI 1194516773 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 · RN2365786
322 RESERVOIR ST, Needham, MA 02494

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

Tracy Otubu 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 ID9436660685
PECOS Enrollment IDI20250616001755
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 02494 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

Substance Abuse Rehabilitation Facility
322 RESERVOIR ST
NEEDHAM, MA 02494

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 Tracy Otubu's NPI number?

The NPI number for Tracy Otubu is 1194516773. It was assigned to this individual provider in the NPPES registry on May 14, 2025.

Where is Tracy Otubu located?

Tracy Otubu practices at 322 Reservoir St, Needham, MA 02494. The listed phone number is (877) 920-6583.

What is Tracy Otubu's specialty?

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

Is Tracy Otubu enrolled in Medicare?

Yes. Tracy Otubu 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 Tracy Otubu accept?

Health plans from Harvard Pilgrim Health Care list Tracy Otubu 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 Tracy Otubu was last updated on January 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.