Individual provider Active NPI

Chukwuemeka Peter Asiegbu, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Southbridge, MA
National Provider Identifier
1023745759
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2325705 Issued in MA
Practice address
29 Pine St
Southbridge, MA 01550-1823
Phone
(508) 765-9167
Fax
(508) 764-2462
NPI assigned
Aug 3, 2022
Last updated
Jan 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2325705 MA Primary

Addresses

Primary practice location

29 Pine St
Southbridge, MA 01550-1823

Mailing address

PO Box 415348
Boston, MA 02241-5348
Phone (800) 225-8885

Other practice location 1

100 Front St Ste 401
Worcester, MA 01608-1425
Phone (508) 635-0144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231211002484 MA Practitioner - Nurse Practitioner 1355790759 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Umass Memorial Medical Group IncGroup PAC ID 4284539891, 2,494 clinicians

Practice addresses (Care Compare)

29 Pine St
Southbridge, MA 01550-1823
Phone (508) 765-9167

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2325705MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Healthlink, Inc. CurrentSince Nov 4, 2023 Accepting new patients
Lifepoint Behavioral Health Physician Services LLC CurrentSince Sep 23, 2024 Accepting new patients
Community Healthlink Inc CurrentSince Nov 4, 2023 Accepting new patients
Lifetent Behavioral Health, LLC CurrentSince Jul 27, 2024 Accepting new patients
Umass Memorial Medical Group Inc Current Accepting new patients
Lifepoint Behavioral Health Physician Services LLC CurrentSince Sep 23, 2024 Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Jan 7, 2025 Accepting new patients

Locations

275 Nichols Rd
Fitchburg, MA 01420
Phone (978) 343-5048

45 Lower Westfield Rd
Holyoke, MA 01040
Phone (413) 315-4100

40 Spruce St
#2
Leominster, MA 01453
Phone (978) 534-6116

29 Pine St
Southbridge, MA 01550
Phone (508) 765-2202

100 Front St
Ste 401
Worcester, MA 01608
Phone (508) 635-0144

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

72 Jaques Ave
Worcester, MA 01610
Phone (508) 860-1154

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1659484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1023745759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415348",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022415348",
            "telephone_number": "800-225-8885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 PINE ST",
            "city": "SOUTHBRIDGE",
            "state": "MA",
            "postal_code": "015501823",
            "telephone_number": "508-765-9167",
            "fax_number": "508-764-2462"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Front St Ste 401",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016081425",
            "country_code": "US",
            "telephone_number": "508-635-0144",
            "fax_number": "508-635-5414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASIEGBU",
        "first_name": "CHUKWUEMEKA",
        "middle_name": "PETER",
        "name_prefix": "Mr.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-03",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2325705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southbridge, MA

Sources for this page

Verify at the official NPI Registry.