Individual provider Active NPI

Roseline C Chiuwa, NURSE PRACTITIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • Springfield, MA
National Provider Identifier
1093427239
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2322049 Issued in MA
Practice address
417 Liberty St
Springfield, MA 01104-3736
Phone
(413) 733-6661
NPI assigned
Dec 20, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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 RN2322049 MA Primary

Addresses

Primary practice location

417 Liberty St
Springfield, MA 01104-3736

Mailing address

1077 W Boylston St
Worcester, MA 01606-1144

Other practice location 1

1077 W Boylston St
Worcester, MA 01606
Phone (978) 306-0556

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
I20240417004295 MA Practitioner - Nurse Practitioner 6507205978 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Behavioral Health Network Inc 146 clinicians
Lifepoint Behavioral Health Physician Services, LLC 31 clinicians

Practice addresses (Care Compare)

417 Liberty St
Springfield, MA 01104-3736
Phone (413) 736-3668

45 Lower Westfield Rd
Holyoke, MA 01040-2747
Phone (844) 727-9794

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2322049MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifepoint Behavioral Health Physician Services LLC CurrentSince Feb 17, 2025 Accepting new patients
Behavioral Health Network, Inc CurrentSince Feb 25, 2024 Accepting new patients
Lifepoint Behavioral Health Physician Services LLC CurrentSince Feb 17, 2025 Accepting new patients
Deverra Behavioral Health PLLC CurrentSince Apr 1, 2026 Accepting new patients
Deverra Homecare Services Current Accepting new patients
Collegial Psychiatry and Behavioral Medicine,Inc CurrentSince Aug 1, 2024 Accepting new patients
Behavioral Health Network Inc CurrentSince Feb 25, 2024 Accepting new patients
African Diaspora Mental Health Association LLC. PastSince Dec 1, 2022 Accepting new patients

Locations

40 Bobala Rd
Holyoke, MA 01040
Phone (413) 536-5473

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

100 Boston Tpke
Ste J9B285
Shrewsbury, MA 01545
Phone (407) 476-5615

312 Locust St
Springfield, MA 01108
Phone (407) 476-5615

417 Liberty St
Springfield, MA 01104
Phone (413) 733-6661

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1671494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1093427239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1077 W BOYLSTON ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016061144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 LIBERTY ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011043736",
            "telephone_number": "413-733-6661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1077 W Boylston St",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "01606",
            "country_code": "US",
            "telephone_number": "978-306-0556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHIUWA",
        "first_name": "ROSELINE",
        "middle_name": "C",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-20",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2322049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.