MRS. JENNIFER A UGBAH (CNS) – Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist, NPI 1043646128

MRS. JENNIFER A UGBAH (CNS) is a healthcare provider. based in Pascoag, Rhode Island. specializing in Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist. They hold the professional credentials CNS. They hold a License No. PPNS00114 (RI). The NPI Number for MRS. JENNIFER A UGBAH (CNS) is 1043646128

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JENNIFER A UGBAH (CNS)
NPI
1043646128
Phone
(401) 567-0800
Address
PO BOX 312
Enumeration Date
19 September 2013
Last Update Date
3 October 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4012959706
Graduation Year
2013 (13 years ago)
PAC ID
2062738560
Group Practice PAC ID
1355250663
Professional Enrollment ID
I20150227000687
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

Provider Addresses for MRS. JENNIFER A UGBAH (CNS)

  • PO BOX 312

    PASCOAG, RI 028590312

    Phone: (401) 567-0800

    Type: Mailing

  • 308 CALLAHAN RD

    NORTH KINGSTOWN, RI 028527739

    Phone: (401) 295-9706

    Type: Location

  • 160 Beechwood Ave

    Pawtucket, RI 028605402

    Phone: (401) 722-5573

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $497.

Total Amount is formed as General ($497) + Research ($0) + Ownership ($0) = $497.

Last reported payment date: 2024-05-30 • Largest payer in this snapshot: IRONSHORE PHARMACEUTICALS INC. ($116).

Total Amount

$497

General + Research + Ownership

Payments

6

Total payment records

General Amount

$497

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-30

Latest reported date

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: 2015-02-27

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
I20150227000687ICertified Clinical Nurse Specialist (Cns)RITBD

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 02859)

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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: 1355250663View full group profile
NameSpecialtyState
Physician AssistantCT
Nurse PractitionerRI
Family PracticeRI
Nurse PractitionerRI
Clinical PsychologistRI
-RI
Nurse PractitionerRI
Clinical PsychologistRI
Nurse PractitionerMD
Clinical Social WorkerRI

Reviews

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Frequently asked questions

What identifier follows MRS. JENNIFER A UGBAH (CNS) across health systems?
The NPI 1043646128 uniquely identifies MRS. JENNIFER A UGBAH (CNS) in U.S. healthcare data.
Quick check: is MRS. JENNIFER A UGBAH (CNS) active?
Public NPPES data shows MRS. JENNIFER A UGBAH (CNS) with an active NPI status right now.
Which specialty label fits MRS. JENNIFER A UGBAH (CNS)?
NPPES ties MRS. JENNIFER A UGBAH (CNS) to Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MRS. JENNIFER A UGBAH (CNS)?
MRS. JENNIFER A UGBAH (CNS) is associated with Pascoag, Rhode Island in the same public data insurers reference.
Who maintains MRS. JENNIFER A UGBAH (CNS)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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