DR. STEPHEN ZOMBIL DNP, PMHNP-BC
NPI 1780165498
Nurse Practitioner - Psychiatric/Mental Health in Worcester, MA

Q: What is Stephen Zombil's NPI number?

The NPI number for Stephen Zombil is 1780165498. It was assigned to this individual provider in the NPPES registry on August 22, 2018.

Q: What is Stephen Zombil'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 Stephen Zombil was last updated on July 27, 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.

Active since August 22, 2018PECOS EnrolledAccepts Medicare Assignment

116 BELMONT ST RM 43, WORCESTER, MA 01605(508) 796-0730 Get Directions Write a Review

NPPES record last updated: July 27, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 27, 2022, Jan 9, 2020, Sep 29, 2019 and 1 more (4 updates tracked since 2018).

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About Dr. Stephen Zombil Dnp, Pmhnp-bc NPPES

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

DR. STEPHEN ZOMBIL DNP, PMHNP-BC (NPI 1780165498) is an individual psychiatric/mental health provider in Worcester, Massachusetts, licensed in Massachusetts (RN2284540) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1780165498

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameDR. STEPHEN ZOMBILCredential: DNP, PMHNP-BC

Location Address116 BELMONT ST RM 43Worcester, MA 01605-2964

Mailing Address116 Belmont St Rm 43Worcester, MA 01605-2964 · (508) 796-0730 · Fax (508) 519-0488

Phone(508) 796-0730

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateAugust 22, 2018

Last NPPES UpdateJuly 27, 20224 updates tracked since enumeration

NPPES CertifiedJuly 27, 2022

✔ NPI 1780165498 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 · RN2284540

116 BELMONT ST RM 43, Worcester, MA 01605

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Stephen Zombil Dnp, Pmhnp-bc 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 ID2668796574

PECOS Enrollment IDI20181226000083

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.

Areas of Expertise CMS Part B claims 3

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.

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

786 services52 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.

111 services22 patients

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01605 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

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

ALBERT PEPRAH

Nurse Practitioner (Psychiatric/Mental Health)

116 BELMONT ST RM 43
WORCESTER, MA 01605

Worcester County (508) 796-0730

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 Stephen Zombil's NPI number?

The NPI number for Stephen Zombil is 1780165498. It was assigned to this individual provider in the NPPES registry on August 22, 2018.

Where is Stephen Zombil located?

Stephen Zombil practices at 116 Belmont St Rm 43, Worcester, MA 01605. The listed phone number is (508) 796-0730.

What is Stephen Zombil's specialty?

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

Is Stephen Zombil enrolled in Medicare?

Yes. Stephen Zombil 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.

What insurance does Stephen Zombil accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Providence Health Plan list Stephen Zombil 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 Stephen Zombil was last updated on July 27, 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.