CHUCK OGBODO (PMHNP) – Registered Nurse, NPI 1417349325

CHUCK OGBODO (PMHNP) is a healthcare provider. based in Boston, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. RN2284675 (MA). The NPI Number for CHUCK OGBODO (PMHNP) is 1417349325

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
CHUCK OGBODO (PMHNP)
NPI
1417349325
Phone
(508) 408-9200
Address
1 BOSTON MEDICAL CTR PL
Enumeration Date
2 March 2015
Last Update Date
9 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5084089200
Graduation Year
2021 (5 years ago)
PAC ID
3274929187
Group Practice PAC ID
7911805361
Professional Enrollment ID
I20220401000398
Address ID
MA023011708BR34XXXSTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:11State licenses:1Digital endpointsOther names

8,972 NURSE PRACTITIONER in MA

Provider Addresses for CHUCK OGBODO (PMHNP)

  • 1 BOSTON MEDICAL CTR PL

    BOSTON, MA 021182908

    Phone: (508) 408-9200

    Type: Location

  • 41 AUBURN ST

    HAVERHILL, MA 018305003

    Phone: (978) 836-2210

    Type: Mailing

  • 41 Auburn St

    Haverhill, MA 018305003

    Phone: (978) 836-2210

    Type: Location

  • 960 MASSACHUSETTS AVE

    FL 2

    BOSTON, MA 02118

    Phone: (617) 414-5405

    Fax: (617) 414-6031

    Type: Mailing

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: 2022-04-01

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
I20220401000398INurse 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
99213Established patient office or other outpatient visit, 20-29 minutes25877$0
99214Established patient office or other outpatient visit, 30-39 minutes17882$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes3216$0
90792Psychiatric diagnostic evaluation with medical services1111$0
View full utilization report →

Insurance plans in this area (ZIP 02118)

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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: 7911805361View full group profile

Reviews

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Frequently asked questions

What number should I use to identify CHUCK OGBODO (PMHNP) for billing?
Administrative and clinical systems typically use NPI 1417349325 for CHUCK OGBODO (PMHNP).
Does the public listing show CHUCK OGBODO (PMHNP) as active?
CHUCK OGBODO (PMHNP)'s NPI record reflects an active status in NPPES.
What type of care does CHUCK OGBODO (PMHNP) provide?
CHUCK OGBODO (PMHNP)'s profile centers on Registered Nurse. Clinical services aligned with this taxonomy classification.
Which community is linked to CHUCK OGBODO (PMHNP)?
CHUCK OGBODO (PMHNP) shows a connection to Boston, Massachusetts in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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