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JUSTINA MBUGUA APRN
NPI 1912687088
Nurse Practitioner - Psychiatric/Mental Health in Worcester, MA

Active since July 24, 2023PECOS EnrolledAccepts Medicare Assignment
100 CENTURY DR, WORCESTER, MA 01606(844) 319-0000 Get Directions Write a Review

NPPES record last updated: March 23, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Justina Mbugua Aprn NPPES

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

JUSTINA MBUGUA APRN (NPI 1912687088) is an individual psychiatric/mental health provider in Worcester, Massachusetts, licensed in Massachusetts (RN2314950) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1912687088
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJUSTINA MBUGUACredential: APRN
Location Address100 CENTURY DRWorcester, MA 01606-1244
Mailing Address100 Century DrWorcester, MA 01606-1244 · (508) 963-0234
Phone(844) 319-0000
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 24, 2023
Last NPPES UpdateMarch 23, 2024
NPPES CertifiedMarch 23, 2024
✔ NPI 1912687088 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 · RN2314950
100 CENTURY DR, Worcester, MA 01606
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.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

Justina Mbugua Aprn 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 ID5799123675
PECOS Enrollment IDI20240411000517
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 2

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 hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
222 services34 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
18 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01606 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.

DR. JOSHUA HAUGH DO
Psychiatry & Neurology (Psychiatry)
100 CENTURY DR
WORCESTER, MA 01606
Worcester County (508) 762-5400
DR. CATHRYN WILLIAMS PSY.D
Psychologist (Clinical)
100 CENTURY DR
WORCESTER, MA 01606
Worcester County (508) 762-6400
KARA NAYLON PSYD
Psychologist (Clinical)
100 CENTURY DR
WORCESTER, MA 01606
Worcester County (508) 762-5400
RACHEL E. LAMBERT FNP-BC, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
100 CENTURY DR
WORCESTER, MA 01606
Worcester County (508) 762-5400
MS. CHERYL LYNN CATOGGIO R.PH
Pharmacist
100 CENTURY DR
WORCESTER, MA 01606
Worcester County (508) 421-5819
URSULA SAWICKI MAKRUM PMH CNS-BC
Clinical Nurse Specialist (Psychiatric/Mental Health)
100 CENTURY DR
WORCESTER, MA 01606
Worcester County (508) 762-5400
DALTON T MOURAO MD
Student in an Organized Health Care Education/Training Program
100 CENTURY DR
WORCESTER, MA 01606
Worcester County (508) 334-1000
MELISSA L ANDERSON PH.D.
Psychologist (Clinical)
100 CENTURY DR
WORCESTER, MA 01606
Worcester County (508) 762-5400

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 Justina Mbugua's NPI number?

The NPI number for Justina Mbugua is 1912687088. It was assigned to this individual provider in the NPPES registry on July 24, 2023.

Where is Justina Mbugua located?

Justina Mbugua practices at 100 Century Dr, Worcester, MA 01606. The listed phone number is (844) 319-0000.

What is Justina Mbugua's specialty?

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

Is Justina Mbugua enrolled in Medicare?

Yes. Justina Mbugua 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 Justina Mbugua accept?

Health plans from Harvard Pilgrim Health Care list Justina Mbugua 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 Justina Mbugua was last updated on March 23, 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.