MS. STELLAH KULABAKO NP
NPI 1770280646
Nurse Practitioner - Psychiatric/Mental Health in North Andover, MA

Active since February 13, 2023PECOS Enrolled
25 ROYAL CREST DR APT 2, NORTH ANDOVER, MA 01845(617) 543-2611 Get Directions Write a Review

NPPES record last updated: May 18, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 18, 2024, Feb 13, 2023 (2 updates tracked since 2023).

About Ms. Stellah Kulabako Np NPPES

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

MS. STELLAH KULABAKO NP (NPI 1770280646) is an individual psychiatric/mental health provider in North Andover, Massachusetts, licensed in Massachusetts (2307930) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770280646
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. STELLAH KULABAKOCredential: NP
Location Address25 ROYAL CREST DR APT 2North Andover, MA 01845-6474
Mailing Address25 Royal Crest Dr Apt 2North Andover, MA 01845-6474 · (617) 543-2611
Sole ProprietorYes
Enumeration DateFebruary 13, 2023
Last NPPES UpdateMay 18, 20242 updates tracked since enumeration
NPPES CertifiedMay 18, 2024
✔ NPI 1770280646 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 · 2307930
25 ROYAL CREST DR APT 2, North Andover, MA 01845

Other Names 1

Professional Name (2)Ms. Stellah Kulabako Np

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Stellah Kulabako Np 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 Reassignment

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

Mental Health (Including Community Mental Health Center)
2640 BRESLAUER WAY
Redding, CA 96001
  • Reassigned Medicare billing, California enrollment
  • 24 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01845 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.

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 Stellah Kulabako's NPI number?

The NPI number for Stellah Kulabako is 1770280646. It was assigned to this individual provider in the NPPES registry on February 13, 2023. The provider is also known as Ms. Stellah Kulabako Np.

Where is Stellah Kulabako located?

Stellah Kulabako practices at 25 Royal Crest Dr Apt 2, North Andover, MA 01845. The listed phone number is (617) 543-2611.

What is Stellah Kulabako's specialty?

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

Is Stellah Kulabako enrolled in Medicare?

Yes. Stellah Kulabako is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Stellah Kulabako's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stellah Kulabako reassigns Medicare benefits to County Of Shasta (Redding, CA). 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 Stellah Kulabako'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 Stellah Kulabako was last updated on May 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.