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

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: November 08, 2026.

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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Derick Ngoran reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Commonwealth Of Massachusetts
Same address
Mental Health (Including Community Mental Health Center)
75 FENWOOD RD
Boston, MA 02115
  • Reassigned Medicare billing, Massachusetts enrollment
  • 40 clinicians in this Medicare group
NPI 1073638805 (617) 626-9300
Adullam Integrated Psychiatry
2.9 mi
Psychiatric/Mental Health
155 FEDERAL ST STE 700
Boston, MA 02110
  • Reassigned Medicare billing, Massachusetts and Minnesota enrollments
NPI 1265288658 (701) 610-1994
Boston Neurobehavioral Associates, LLC
50 mi
Psychiatry
226 FIELD ST
New Bedford, MA 02740
  • Reassigned Medicare billing, Massachusetts enrollment
  • 196 clinicians in this Medicare group
NPI 1558415307 (508) 979-5557

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 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.

Which organizations bill Medicare for Derick Ngoran's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Derick Ngoran reassigns Medicare benefits to 3 organizations: The Commonwealth Of Massachusetts (Boston, MA), Adullam Integrated Psychiatry (Boston, MA) and Boston Neurobehavioral Associates, LLC (New Bedford, MA). 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 Derick Ngoran's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Derick Ngoran accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, HealthPartners and Medica 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.