JEREMIAH OGAH (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1205710217

JEREMIAH OGAH (PMHNP) is a healthcare provider. based in Lynn, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. RN2346548 (MA). The NPI Number for JEREMIAH OGAH (PMHNP) is 1205710217

Main info

Male
1 Year Of Experience
Accepts Medicare Assignment
Name
JEREMIAH OGAH (PMHNP)
NPI
1205710217
Phone
Not provided
Address
60 GRANITE ST
Enumeration Date
4 August 2025
Last Update Date
4 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9784590389
Graduation Year
2025 (1 year ago)
PAC ID
7113421959
Group Practice PAC ID
6507833985
Professional Enrollment ID
I20250916002739
Address ID
MA018526246LO35XXXSTXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

8,971 NURSE PRACTITIONER in MA

Provider Addresses for JEREMIAH OGAH (PMHNP)

  • 60 GRANITE ST

    LYNN, MA 019042915

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-09-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250916002739INurse PractitionerMATBD

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.

Verify on CMS Revalidation Lookup Tool

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 01904)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6507833985View full group profile
NameSpecialtyState
Nurse PractitionerMA
Mental Health CounselorMA
Mental Health CounselorMA
Clinical Social WorkerMA
Mental Health CounselorMA
-MA
Clinical Social WorkerMA
P S Y C H I A T R YMA
Mental Health CounselorMA
Clinical Social WorkerMA

Reviews

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Frequently asked questions

What unique ID ties claims to JEREMIAH OGAH (PMHNP)?
NPI 1205710217 is assigned to JEREMIAH OGAH (PMHNP) under the national enumeration system.
Is JEREMIAH OGAH (PMHNP) currently active in the NPI registry?
CMS-published data lists JEREMIAH OGAH (PMHNP) as an active registrant.
What does JEREMIAH OGAH (PMHNP) treat or focus on?
Patients typically see JEREMIAH OGAH (PMHNP) under the specialty Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for JEREMIAH OGAH (PMHNP)?
The page summarizes Lynn, Massachusetts for JEREMIAH OGAH (PMHNP); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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