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EDWIN JAPHETH AGBONAVBARE CNP
NPI 1386007631
Nurse Practitioner - Psychiatric/Mental Health in Peabody, MA

Active since April 04, 2016PECOS Enrolled
100 CORPORATE PL STE 303, PEABODY, MA 01960(781) 640-1791 Get Directions Write a Review

NPPES record last updated: December 10, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 10, 2024, Feb 4, 2023, Nov 3, 2021 and 3 more (6 updates tracked since 2020).

About Edwin Japheth Agbonavbare Cnp NPPES

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

EDWIN JAPHETH AGBONAVBARE CNP (NPI 1386007631) is an individual psychiatric/mental health provider in Peabody, Massachusetts, licensed in Massachusetts (RN2277840) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386007631
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameEDWIN JAPHETH AGBONAVBARECredential: CNP
Location Address100 CORPORATE PL STE 303Peabody, MA 01960-3809
Mailing Address100 Corporate Pl Ste 303Peabody, MA 01960-3809 · (781) 640-1791
Phone(781) 640-1791
Sole ProprietorYes
Enumeration DateApril 4, 2016
Last NPPES UpdateDecember 10, 20246 updates tracked since enumeration
NPPES CertifiedDecember 10, 2024
✔ NPI 1386007631 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
Licenses✔ Licensed in MA · RN2277840✔ Licensed in NY · 406565
100 CORPORATE PL STE 303, Peabody, MA 01960
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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, Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edwin Japheth Agbonavbare Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

6

Medicare enrollment records show Edwin Agbonavbare reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Steward Medical Group, Inc
15 mi
Specialist
9 GALEN ST
Watertown, MA 02472
  • Reassigned Medicare billing, Massachusetts enrollment
  • 1,103 clinicians in this Medicare group
NPI 1629398219 (615) 467-4474
Supportive Behavioral Care Of Ma LLC
21 mi
Clinical
150 LINCOLN ST
Needham, MA 02492
  • Reassigned Medicare billing, Massachusetts enrollment
  • 240 clinicians in this Medicare group
NPI 1780115519 (718) 298-4375
Vantage Healthcare LLC
24 mi
Internal Medicine
C/O WORKPLACE@45, 45 DAN RD
Canton, MA 02021
  • Reassigned Medicare billing, Massachusetts enrollment
  • 113 clinicians in this Medicare group
NPI 1366903551 (781) 867-2050
Uhs Of Westwood Pembroke Inc
24 mi
Psychiatric Hospital
45 CLAPBOARDTREE ST
Westwood, MA 02090
  • Reassigned Medicare billing, Massachusetts enrollment
  • 76 clinicians in this Medicare group
NPI 1760453328 (781) 762-7764
Valera Medical, P.C.
198 mi
Psychiatry
134 N 4TH ST
Brooklyn, NY 11249
  • Reassigned Medicare billing, Massachusetts and New York enrollments
  • Medicare enrollment name: Valera Medical PC
  • 34 clinicians in this Medicare group
NPI 1437782349 (646) 450-7748
Thrive Counseling LLC
557 mi
Mental Health
1000 JEFFERSON ST STE 2C
Lynchburg, VA 24504
  • Reassigned Medicare billing, Massachusetts enrollment
  • 250 clinicians in this Medicare group
NPI 1215181300 (855) 284-7483

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 6

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
1,246 services284 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
165 services52 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
139 services139 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
103 services100 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
21 services21 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01960 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

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

REJUVENATE PSYCHIATRIC MENTAL HEALTH SERVICES, LLC
Community/Behavioral Health
100 CORPORATE PL STE 303
PEABODY, MA 01960
Essex County (781) 640-1791

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 Edwin Agbonavbare's NPI number?

The NPI number for Edwin Agbonavbare is 1386007631. It was assigned to this individual provider in the NPPES registry on April 4, 2016.

Where is Edwin Agbonavbare located?

Edwin Agbonavbare practices at 100 Corporate Pl Ste 303, Peabody, MA 01960. The listed phone number is (781) 640-1791.

What is Edwin Agbonavbare's specialty?

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

Is Edwin Agbonavbare enrolled in Medicare?

Yes. Edwin Agbonavbare is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Edwin Agbonavbare's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edwin Agbonavbare reassigns Medicare benefits to 6 organizations: Steward Medical Group, Inc (Watertown, MA), Supportive Behavioral Care Of Ma LLC (Needham, MA), Vantage Healthcare LLC (Canton, MA), Uhs Of Westwood Pembroke Inc (Westwood, MA), Valera Medical, P.C. (Brooklyn, NY) and 1 more organization, listed in the Medicare section above. 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 Edwin Agbonavbare's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edwin Agbonavbare accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Edwin Agbonavbare 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 Edwin Agbonavbare was last updated on December 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.