PENINAH ELIZABETH WAITHIRA
NPI 1487301768
Nurse Practitioner - Psychiatric/Mental Health in Southbridge, MA

Active since March 07, 2022PECOS EnrolledAccepts Medicare Assignment
29 PINE ST, SOUTHBRIDGE, MA 01550(508) 765-9167 Get Directions Write a Review

NPPES record last updated: March 7, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Peninah Elizabeth Waithira NPPES

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

PENINAH ELIZABETH WAITHIRA (NPI 1487301768) is an individual psychiatric/mental health provider in Southbridge, Massachusetts, licensed in Massachusetts (RN2298837) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1487301768
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NamePENINAH ELIZABETH WAITHIRA
Location Address29 PINE STSouthbridge, MA 01550-1823
Mailing AddressPo Box 40Southbridge, MA 01550-0040
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 7, 2022
NPPES CertifiedFebruary 22, 2022
✔ NPI 1487301768 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 · RN2298837
29 PINE ST, Southbridge, MA 01550

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

Peninah Elizabeth Waithira 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 ID4789060237
PECOS Enrollment IDI20221006000992
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

2

Medicare enrollment records show Peninah Waithira reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatric/Mental Health
360 W BOYLSTON ST RM 205
West Boylston, MA 01583
  • Reassigned Medicare billing, Massachusetts enrollment
  • 3 clinicians in this Medicare group
Community/Behavioral Health
10-I ROESSLER ROAD, ARBOUR COUNSELING SERVICES
Woburn, MA 01801
  • Reassigned Medicare billing, Massachusetts enrollment
  • 145 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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
30 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01550 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 20

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

Nurse Practitioner (Psychiatric/Mental Health)
29 PINE ST
SOUTHBRIDGE, MA 01550
Psychiatry & Neurology (Psychiatry)
29 PINE ST, G.B. WELLS HUMAN SERVICES CENTER
SOUTHBRIDGE, MA 01550
Social Worker
29 PINE ST
SOUTHBRIDGE, MA 01550
Counselor
29 PINE ST, GB WELLS CENTER
SOUTHBRIDGE, MA 01550
Counselor (Addiction (Substance Use Disorder))
29 PINE ST
SOUTHBRIDGE, MA 01550
Nurse Practitioner (Psychiatric/Mental Health)
29 PINE ST
SOUTHBRIDGE, MA 01550
Nurse Practitioner (Psychiatric/Mental Health)
29 PINE ST
SOUTHBRIDGE, MA 01550
Social Worker
29 PINE ST
SOUTHBRIDGE, MA 01550

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 Peninah Waithira's NPI number?

The NPI number for Peninah Waithira is 1487301768. It was assigned to this individual provider in the NPPES registry on March 7, 2022.

Where is Peninah Waithira located?

Peninah Waithira practices at 29 Pine St, Southbridge, MA 01550. The listed phone number is (508) 765-9167.

What is Peninah Waithira's specialty?

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

Is Peninah Waithira enrolled in Medicare?

Yes. Peninah Waithira 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 Peninah Waithira's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peninah Waithira reassigns Medicare benefits to 2 organizations: Circle Integrative Psychiatric Group (West Boylston, MA) and Hri Clinics, Inc. (Woburn, MA). 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 Peninah Waithira's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Peninah Waithira accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Peninah Waithira 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 Peninah Waithira was last updated on March 7, 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.