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RACHEAL KIBUKA
NPI 1457214785
Nurse Practitioner - Psychiatric/Mental Health in Stoneham, MA

Active since December 04, 2025PECOS EnrolledAccepts Medicare Assignment
80 MAPLE ST, STONEHAM, MA 02180(857) 230-8630 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Racheal Kibuka NPPES

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

RACHEAL KIBUKA (NPI 1457214785) is an individual psychiatric/mental health provider in Stoneham, Massachusetts, licensed in Massachusetts (RN2331554) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1457214785
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameRACHEAL KIBUKA
Location Address80 MAPLE STStoneham, MA 02180-3143
Mailing Address80 Maple StStoneham, MA 02180-3143 · (857) 230-8630
Phone(857) 230-8630
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 4, 2025
NPPES CertifiedDecember 4, 2025
✔ NPI 1457214785 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 · RN2331554
80 MAPLE ST, Stoneham, MA 02180
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Other Names 1

Other Name (5)Racheal Gwokyalya Kibuka

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

Racheal Kibuka 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 ID5991270134
PECOS Enrollment IDI20260406003083
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 Reassignment

Medicare enrollment records show Racheal Kibuka reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bridgewell, Inc
15 mi
Community/Behavioral Health
35 MARKET ST
Lowell, MA 01852
  • Reassigned Medicare billing, Massachusetts enrollment
  • 51 clinicians in this Medicare group
NPI 1033262860 (978) 459-0389

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 02180 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.

LISA M LYNCH, LICSW LLC
Exclusive Provider Organization
80 MAPLE ST, SUITE 101
STONEHAM, MA 02180
Middlesex County (978) 364-0214

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 Racheal Kibuka's NPI number?

The NPI number for Racheal Kibuka is 1457214785. It was assigned to this individual provider in the NPPES registry on December 4, 2025. The provider is also known as Racheal Gwokyalya Kibuka.

Where is Racheal Kibuka located?

Racheal Kibuka practices at 80 Maple St, Stoneham, MA 02180. The listed phone number is (857) 230-8630.

What is Racheal Kibuka's specialty?

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

Is Racheal Kibuka enrolled in Medicare?

Yes. Racheal Kibuka 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 organization bills Medicare for Racheal Kibuka's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Racheal Kibuka reassigns Medicare benefits to Bridgewell, Inc (Lowell, MA). The 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 Racheal Kibuka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Racheal Kibuka was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.