JUDI GACHUNGA MACHIRA NP
NPI 1639764749
Nurse Practitioner - Family in Worcester, MA

Active since March 02, 2021PECOS EnrolledAccepts Medicare Assignment
366 SHREWSBURY ST, WORCESTER, MA 01604(508) 595-2700(774) 221-5136 Get Directions Write a Review

NPPES record last updated: October 24, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 24, 2023, Mar 2, 2021 (2 updates tracked since 2021).

About Judi Gachunga Machira Np NPPES

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

JUDI GACHUNGA MACHIRA NP (NPI 1639764749) is an individual family provider in Worcester, Massachusetts, licensed in Massachusetts (RN2306997) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1639764749
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJUDI GACHUNGA MACHIRACredential: NP
Location Address366 SHREWSBURY STWorcester, MA 01604-4647
Mailing Address366 Shrewsbury StWorcester, MA 01604-4647 · (508) 595-2700 · Fax (774) 221-5136
Fax(774) 221-5136
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 2, 2021
Last NPPES UpdateOctober 24, 20232 updates tracked since enumeration
NPPES CertifiedOctober 24, 2023
✔ NPI 1639764749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MA · RN2306997
366 SHREWSBURY ST, Worcester, MA 01604

Other Identifiers 1

Medicaid110195937AMA

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

Judi Gachunga Machira Np 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 ID1456797612
PECOS Enrollment IDI20240311000030
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

8

Medicare enrollment records show Judi Gachunga Machira reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
544 MAIN ST
Worcester, MA 01608
  • Reassigned Medicare billing, Massachusetts enrollment
  • 31 clinicians in this Medicare group
Internal Medicine
475 PLEASANT ST
Worcester, MA 01609
  • Reassigned Medicare billing, Massachusetts enrollment
  • 5 clinicians in this Medicare group
Health Service
55 GIBBS ST
Worcester, MA 01607
  • Reassigned Medicare billing, Massachusetts enrollment
Internal Medicine
11-15 SANDERSDALE ROAD
Southbridge, MA 01550
  • Reassigned Medicare billing, Massachusetts enrollment
  • 9 clinicians in this Medicare group
Psychiatric/Mental Health
81 MEMORIAL PKWY OFC A
Randolph, MA 02368
  • Reassigned Medicare billing, Massachusetts enrollment
  • 26 clinicians in this Medicare group
Physical Medicine & Rehabilitation
490 PAGE BOULEVARD
Springfield, MA 01104
  • Reassigned Medicare billing, Massachusetts enrollment
  • 25 clinicians in this Medicare group
Physical Medicine & Rehabilitation
1300 WINDLASS DR
Middle River, MD 21220
  • Reassigned Medicare billing, Massachusetts enrollment
  • 37 clinicians in this Medicare group
Internal Medicine
6600 RIDGE RD
Baltimore, MD 21237
  • Reassigned Medicare billing, Massachusetts enrollment
  • 6 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 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 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.
406 services80 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
80 services36 patients
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.
73 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.
60 services54 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
17 services17 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
17 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01604 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.

Registered Nurse
366 SHREWSBURY ST
WORCESTER, MA 01604
Internal Medicine
366 SHREWSBURY ST
WORCESTER, MA 01604
Physician Assistant
366 SHREWSBURY ST
WORCESTER, MA 01604
Emergency Medicine
366 SHREWSBURY ST
WORCESTER, MA 01604
Nurse Practitioner (Family)
366 SHREWSBURY ST
WORCESTER, MA 01604
Nurse Practitioner (Family)
366 SHREWSBURY ST
WORCESTER, MA 01604
Physician Assistant (Medical)
366 SHREWSBURY ST
WORCESTER, MA 01604
Nurse Practitioner (Family)
366 SHREWSBURY ST
WORCESTER, MA 01604

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 Judi Gachunga Machira's NPI number?

The NPI number for Judi Gachunga Machira is 1639764749. It was assigned to this individual provider in the NPPES registry on March 2, 2021.

Where is Judi Gachunga Machira located?

Judi Gachunga Machira practices at 366 Shrewsbury St, Worcester, MA 01604. The listed phone number is (508) 595-2700.

What is Judi Gachunga Machira's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Judi Gachunga Machira enrolled in Medicare?

Yes. Judi Gachunga Machira 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 Judi Gachunga Machira's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Judi Gachunga Machira reassigns Medicare benefits to 8 organizations: New England Hospitalists PC (Worcester, MA), Neh Healthcare LLC (Worcester, MA), Imarika Healthcare Services LLC (Worcester, MA), Renaissance Primary Care, LLC (Southbridge, MA), Bay Healthcare LLC (Randolph, MA) and 3 more organizations, 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 Judi Gachunga Machira's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Judi Gachunga Machira accept?

Health plans from CareSource (Common Ground Healthcare) and WellSense Health Plan list Judi Gachunga Machira 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 Judi Gachunga Machira was last updated on October 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.