PATRICIA NGARUIYA PMHNP-BC
NPI 1548593288
Nurse Practitioner - Psychiatric/Mental Health in Lexington, MA

Q: What is Patricia Ngaruiya's NPI number?

The NPI number for Patricia Ngaruiya is 1548593288. It was assigned to this individual provider in the NPPES registry on September 14, 2009.

Q: What is Patricia Ngaruiya's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Patricia Ngaruiya was last updated on May 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since September 14, 2009PECOS Enrolled

125 HARTWELL AVE, LEXINGTON, MA 02421(781) 643-9944(978) 776-6403 Get Directions Write a Review

NPPES record last updated: May 9, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 9, 2025, Jul 19, 2023 (2 updates tracked since 2023).

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About Patricia Ngaruiya Pmhnp-bc NPPES

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

PATRICIA NGARUIYA PMHNP-BC (NPI 1548593288) is an individual psychiatric/mental health provider in Lexington, Massachusetts, licensed in Massachusetts (2022152052) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS, is affiliated with Emerson Hospital -, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1548593288

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NamePATRICIA NGARUIYACredential: PMHNP-BC

Location Address125 HARTWELL AVELexington, MA 02421-3100

Mailing Address111 Old Road To 9 Acre CorConcord, MA 01742-4141 · (978) 369-1113 · Fax (978) 369-0908

Phone(781) 643-9944

Fax(978) 776-6403

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateSeptember 14, 2009

Last NPPES UpdateMay 9, 20252 updates tracked since enumeration

NPPES CertifiedMay 9, 2025

✔ NPI 1548593288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in MA · 2022152052

Also ListedRegistered NurseTaxonomy 163W00000X · License 274567 (MA)

125 HARTWELL AVE, Lexington, MA 02421

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Other Identifiers 1

Medicaid110027776BMA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Patricia Ngaruiya Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971966847

PECOS Enrollment IDI20230824002302

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

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

Eliot Community Human Services

Same address

Mental Health (Including Community Mental Health Center)

125 HARTWELL AVE
Lexington, MA 02421

Reassigned Medicare billing, Massachusetts enrollment
167 clinicians in this Medicare group

NPI 1679648182 (978) 369-1113

Comprehensive Health Services LLC

12 mi

Professional

2 COURTHOUSE LN STE 3
Chelmsford, MA 01824

Reassigned Medicare billing, Massachusetts enrollment
38 clinicians in this Medicare group

NPI 1053786236 (978) 275-9444

Supportive Behavioral Care Of Ma LLC

13 mi

Clinical

150 LINCOLN ST
Needham, MA 02492

Reassigned Medicare billing, Massachusetts enrollment
240 clinicians in this Medicare group

NPI 1780115519 (718) 298-4375

Aca Family Counseling Services Inc

17 mi

Community/Behavioral Health

599 CANAL ST FL 5, SUITE#12
Lawrence, MA 01840

Reassigned Medicare billing, Massachusetts enrollment
4 clinicians in this Medicare group

NPI 1861835795 (617) 599-1116

Keypath Inc

17 mi

Community/Behavioral Health

599 CANAL ST FL 5
Lawrence, MA 01840

Reassigned Medicare billing, Massachusetts enrollment
3 clinicians in this Medicare group

NPI 1285349969 (978) 208-9034

Boston Neurobehavioral Associates, LLC

60 mi

Psychiatry

226 FIELD ST
New Bedford, MA 02740

Reassigned Medicare billing, Massachusetts enrollment
196 clinicians in this Medicare group

NPI 1558415307 (508) 979-5557

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.

323 services136 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

251 services98 patients

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.

100 services43 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.

60 services60 patients

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

54 services30 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

16 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Emerson Hospital -

Acute Care Hospitals · W Concord, MA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220084

Location133 Old Road To 9 Acre CornerW Concord, MA 01742 · Middlesex County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02421 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 20

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

ANGELIKI CONSTANTINE

Counselor (Mental Health)