RUTH MBURU (MSN, AGNP, PMHNP) – Gerontology Nurse Practitioner, NPI 1295064624

RUTH MBURU (MSN, AGNP, PMHNP) is a healthcare provider. based in Quincy, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, AGNP, PMHNP. They hold a License No. RN2296945 (MA). The NPI Number for RUTH MBURU (MSN, AGNP, PMHNP) is 1295064624

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
RUTH MBURU (MSN, AGNP, PMHNP)
NPI
1295064624
Phone
(617) 479-4545
Address
1261 FURNACE BROOK PKWY STE 22
Enumeration Date
14 December 2009
Last Update Date
3 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9789379700
Graduation Year
2016 (10 years ago)
PAC ID
7214295393
Group Practice PAC ID
6204807944
Professional Enrollment ID
I20171219000796
Address ID
MA018522103LO161XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

8,972 NURSE PRACTITIONER in MA

Provider Addresses for RUTH MBURU (MSN, AGNP, PMHNP)

  • 1261 FURNACE BROOK PKWY STE 22

    QUINCY, MA 021694762

    Phone: (617) 479-4545

    Type: Mailing

  • 161 JACKSON ST

    LOWELL, MA 018522103

    Phone: (978) 937-9700

    Fax: (978) 221-6728

    Type: Location

  • 1261 Furnace Brook Pkwy Ste 22

    Quincy, MA 021694762

    Phone: (617) 479-4545

    Type: Location

  • 536, Washington Street, Abington, Plymouth County, Massachusetts, 02351, United States

    ABINGTON, MA 023512465

    Phone: (978) 221-8990

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $134.

Total Amount is formed as General ($134) + Research ($0) + Ownership ($0) = $134.

Last reported payment date: 2024-10-18 • Largest payer in this snapshot: ITI, Inc. ($77).

Total Amount

$134

General + Research + Ownership

Payments

3

Total payment records

General Amount

$134

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-18

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ITI, Inc.$77
ABBVIE INC.$57
View all Open Payments →|Open Payments Risk Radar →

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: 2017-12-19

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
I20171219000796INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes176115$0
99214Established patient office or other outpatient visit, 30-39 minutes13049$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes10476$0
90792Psychiatric diagnostic evaluation with medical services8181$0
90833Psychotherapy with evaluation and management visit, 30 minutes7359$0
View full utilization report →

Insurance plans in this area (ZIP 02169)

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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: 6204807944View full group profile
NameSpecialtyState
O P T O M E T R YWA
Preventive Medicine, Addiction MedicineMA
Nurse PractitionerMA
Certified Nurse Midwife (Cnm)NY
Nurse PractitionerMA
Clinical Social WorkerMA
Certified Nurse Midwife (Cnm)MA
Nurse PractitionerMA
-MA
Clinical Social WorkerMA

Reviews

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Frequently asked questions

What unique ID ties claims to RUTH MBURU (MSN, AGNP, PMHNP)?
NPI 1295064624 is assigned to RUTH MBURU (MSN, AGNP, PMHNP) under the national enumeration system.
Is RUTH MBURU (MSN, AGNP, PMHNP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does RUTH MBURU (MSN, AGNP, PMHNP) treat or focus on?
Patients typically see RUTH MBURU (MSN, AGNP, PMHNP) under the specialty Gerontology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place RUTH MBURU (MSN, AGNP, PMHNP)?
The snapshot lists Quincy, Massachusetts for RUTH MBURU (MSN, AGNP, PMHNP); download NPPES for the complete set.
Is RUTH MBURU (MSN, AGNP, PMHNP) a real provider?
This page reflects official NPPES data for NPI 1295064624. Always confirm identity and privileges with the practice and licensing boards.

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