GRACE MBUYA (PMHNP) – Nurse Practitioner, NPI 1104225341
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,971 NURSE PRACTITIONER in MA
Provider Addresses for GRACE MBUYA (PMHNP)
21 SW CUTOFF
NORTHBOROUGH, MA 015322135
Phone: (508) 344-7530
Type: Mailing
120 STAFFORD ST
WORCESTER, MA 016031457
Phone: (508) 344-7530
Type: Location
51 BROOK TRL
SHIRLEY, MA 014642139
Phone:
Type: Mailing
997 MILLBURY ST
WORCESTER, MA 016072105
Phone: (978) 337-3860
Type: Location
21 SW Cutoff
Northborough, MA 015322135
Phone: (508) 344-7530
Type: Location
15333 N Pima Rd
Scottsdale, AZ 852602783
Phone: (508) 344-7530
Fax: (508) 466-8282
Type: Location
326 NICHOLS RD
FITCHBURG, MA 014201914
Phone: (978) 878-8484
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $448.
Total Amount is formed as General ($448) + Research ($0) + Ownership ($0) = $448.
Last reported payment date: 2023-11-07 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($388).
Total Amount
$448
General + Research + Ownership
Payments
10
Total payment records
General Amount
$448
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Otsuka America Pharmaceutical, Inc. | $388 |
| Biosense Webster, Inc. | $38 |
| Lundbeck LLC | $21 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-05-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20201116001004 | I | Nurse Practitioner | MA | TBD |
| I20250515002685 | I | Nurse Practitioner | AZ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 01532)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MA | |
| Certified Clinical Nurse Specialist (Cns) | MA |
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