MARYGORETTI KIBE (DNP, PMHNP-BC) – Registered Nurse, NPI 1780049734

MARYGORETTI KIBE (DNP, PMHNP-BC) is a healthcare provider. based in West boylston, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP, PMHNP-BC. They hold a License No. RN2288921 (MA). The NPI Number for MARYGORETTI KIBE (DNP, PMHNP-BC) is 1780049734

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
MARYGORETTI KIBE (DNP, PMHNP-BC)
NPI
1780049734
Phone
(774) 261-8477
Address
354 W BOYLSTON ST
Enumeration Date
17 December 2015
Last Update Date
10 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5083680704
Graduation Year
2022 (4 years ago)
PAC ID
0547628067
Group Practice PAC ID
8820906860
Professional Enrollment ID
I20230615000980
Address ID
MA016041059WO309XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

8,971 NURSE PRACTITIONER in MA

Provider Addresses for MARYGORETTI KIBE (DNP, PMHNP-BC)

  • 354 W BOYLSTON ST

    WEST BOYLSTON, MA 015832373

    Phone: (774) 261-8477

    Type: Location

  • 88 4TH ST

    WORCESTER, MA 016023132

    Phone: (508) 368-4835

    Type: Mailing

  • 309 BELMONT ST

    WORCESTER, MA 016041059

    Phone: (508) 368-4835

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $231.

Total Amount is formed as General ($231) + Research ($0) + Ownership ($0) = $231.

Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Alkermes, Inc. ($145).

Total Amount

$231

General + Research + Ownership

Payments

5

Total payment records

General Amount

$231

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-07

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2023-06-15

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
I20230615000980INurse 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 01583)

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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: 8820906860View full group profile

Reviews

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Frequently asked questions

How do payers reference MARYGORETTI KIBE (DNP, PMHNP-BC)?
For MARYGORETTI KIBE (DNP, PMHNP-BC), use NPI 1780049734 as the unique 10-digit identifier.
Would MARYGORETTI KIBE (DNP, PMHNP-BC) appear as active to a payer?
You can treat MARYGORETTI KIBE (DNP, PMHNP-BC) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to MARYGORETTI KIBE (DNP, PMHNP-BC)?
MARYGORETTI KIBE (DNP, PMHNP-BC)'s specialty line reads Registered Nurse. Clinical services aligned with this taxonomy classification.
What locale is associated with MARYGORETTI KIBE (DNP, PMHNP-BC)?
Directory geography for MARYGORETTI KIBE (DNP, PMHNP-BC) centers on West Boylston, Massachusetts.
Can I trust this NPI listing for MARYGORETTI KIBE (DNP, PMHNP-BC)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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