DERICK YENSILA NGORAN
NPI 1932719135
Nurse Practitioner - Psychiatric/Mental Health in Boston, MA

Q: What is Derick Ngoran's NPI number?

The NPI number for Derick Ngoran is 1932719135. It was assigned to this individual provider in the NPPES registry on August 4, 2020.

Q: What is Derick Ngoran'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 Derick Ngoran was last updated on December 12, 2023. 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.

Active since August 04, 2020PECOS Enrolled

75 FENWOOD RD, BOSTON, MA 02115(617) 626-9654(617) 626-9531 Get Directions Write a Review

NPPES record last updated: December 12, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Dec 12, 2023, Oct 26, 2020, Aug 4, 2020 (3 updates tracked since 2020).

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About Derick Yensila Ngoran NPPES

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

DERICK YENSILA NGORAN (NPI 1932719135) is an individual psychiatric/mental health provider in Boston, Massachusetts, licensed in Massachusetts (RN2365217) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1932719135

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameDERICK YENSILA NGORAN

Location Address75 FENWOOD RDBoston, MA 02115-6103

Mailing Address620 8th AveTerre Haute, IN 47804-2771 · (812) 231-8323 · Fax (812) 231-8400

Phone(617) 626-9654

Fax(617) 626-9531

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateAugust 4, 2020

Last NPPES UpdateDecember 12, 20233 updates tracked since enumeration

NPPES CertifiedDecember 12, 2023

✔ NPI 1932719135 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

Licenses✔ Licensed in MA · RN2365217✔ Licensed in IN · 71010501A✔ Licensed in ND · R43593

75 FENWOOD RD, Boston, MA 02115

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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, HealthPartners and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Derick Yensila Ngoran is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5698186864

PECOS Enrollment IDI20260727001301

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.

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.

23 services12 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.

16 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02115 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.

MATTIGAN MORAN LCSW

Social Worker

75 FENWOOD RD
BOSTON, MA 02115

Suffolk County (617) 626-9479

DR. DANIEL EDWARDS PSYD

Psychologist (Clinical)

75 FENWOOD RD
BOSTON, MA 02115

Suffolk County (617) 626-9318

MS. KATHLEEN MARIE PUCKETT-LESLIE APRN,BC

Registered Nurse (Psychiatric/Mental Health)

75 FENWOOD RD
BOSTON, MA 02115

Suffolk County (617) 626-9300

THE COMMONWEALTH OF MASSACHUSETTS

Clinic/Center (Mental Health (Including Community Mental Health Center))

75 FENWOOD RD
BOSTON, MA 02115

Suffolk County (617) 626-9300

ELIZABETH MARIE TEMPLETON LCSW

Social Worker (Clinical)

75 FENWOOD RD, MASS. MENTAL HEALTH CENTER
BOSTON, MA 02115

Suffolk County (617) 626-9464

ELIZA ALDEN SORENSON LICSW

Social Worker (Clinical)

75 FENWOOD RD
BOSTON, MA 02115

Suffolk County (617) 626-9323

KAITLYN ROCHA

Counselor

75 FENWOOD RD
BOSTON, MA 02115

Suffolk County (617) 626-9793

GI YI HO

Counselor

75 FENWOOD RD
BOSTON, MA 02115

Suffolk County (617) 860-2086

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 Derick Ngoran's NPI number?

The NPI number for Derick Ngoran is 1932719135. It was assigned to this individual provider in the NPPES registry on August 4, 2020.

Where is Derick Ngoran located?

Derick Ngoran practices at 75 Fenwood Rd, Boston, MA 02115. The listed phone number is (617) 626-9654.

What is Derick Ngoran's specialty?

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

Is Derick Ngoran enrolled in Medicare?

Yes. Derick Ngoran is registered in the Medicare PECOS enrollment system.

What insurance does Derick Ngoran accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, HealthPartners and Providence Health Plan list Derick Ngoran 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 Derick Ngoran was last updated on December 12, 2023. 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.