Immaculate Ngwe Mbony, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

2289761 Issued in MA

Practice address

100 Merrimack St
Lowell, MA 01852-1708

Phone

(978) 455-0756

NPI assigned

Feb 22, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DE, DC, MD3 enrollments

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 3

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integrahealth LLCGroup PAC ID 3678911625, 47 clinicians

Toller Enterprises, LLCGroup PAC ID 8628481926, 63 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Toller Enterprises LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
  • NPI 1821697533

  DC, Mental Health (Including Community Mental Health Center)

  Medicare reassignment Care Compare group NPD
• Integrahealth LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
  • NPI 1740049568
  Medicare reassignment Care Compare group
• Spiritual Healing

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
  • NPI 1003502337

  DC

  Medicare reassignment NPD
• Vista Medical Services, Inc.

  • Psychiatry Physician
  • Bala Cynwyd, PA
  • NPI 1659452027

  DE

  Medicare reassignment NPD
• Integrahealth LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Rockville, MD
  • NPI 1194513234

  DC

  Medicare reassignment
• Integrahealth LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Forest Hill, MD
  • NPI 1598524308
  NPD
• Integrahealth LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
  • NPI 1932968856
  NPD
• Toller Enterprises LLC

  • Pain Management Registered Nurse
  • Baltimore, MD
  • NPI 1821694084

  Mental Health (Including Community Mental Health Center)

  NPD

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1043804990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 KINGS FIELD RD",
            "city": "DRACUT",
            "state": "MA",
            "postal_code": "018261269",
            "telephone_number": "978-726-2878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MERRIMACK ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018521708",
            "telephone_number": "978-455-0756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBONY",
        "first_name": "IMMACULATE",
        "middle_name": "NGWE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-22",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "2289761",
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MD",
            "license": "AC007215",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Skylar Mazo
• Wassim Mazraany, M.D.
• Michelle G. Mazzarelli, MS,OTR/L
• Fidelis Mbagara
• Peris Mbaria
• Casey Mbugua
• George Mbugua, DC
• Peris W Mbugua
• Ruth Mburu, MSN, AGNP, PMHNP
• Festus Kasyoka Mbuva

• Psychiatric/Mental Health Nurse Practitioner in Lowell, MA
• Providers in Lowell, MA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.