Active NPI
Grace Mbuya, PMHNP
- Nurse Practitioner
- Worcester, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN284646
- Practice address
- 120 Stafford St
Worcester, MA 01603-1457 - Phone
- (508) 344-7530
- NPI assigned
- Aug 13, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 284646 | MA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN284646 | MA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 316951 | AZ | |
| Nurse Practitioner | 363L00000X | RN284646 | MA | Primary |
Addresses
Primary practice location
120 Stafford St
Worcester, MA 01603-1457
Mailing address
21 SW Cutoff
Northborough, MA 01532-2135
Phone (508) 344-7530
Other practice location 1
15333 N Pima Rd
Scottsdale, AZ 85260-2783
Phone (508) 344-7530
Other practice location 2
21 SW Cutoff
Northborough, MA 01532-2135
Phone (508) 344-7530
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PIDSL110186617A | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
Scottsdale, AZ 85260
Phone (508) 344-7530
120 Stafford St
Worcester, MA 01603-1457
21 SW Cutoff
Northborough, MA 01532-2135
Phone (508) 344-7530
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 284646 | MA | MD | Psychiatric/Mental Health Registered Nurse |
| 316951 | AZ | MD | Psychiatric/Mental Health Nurse Practitioner |
| RN284646 | MA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mind Healing & Wellness Center | Current | Accepting new patients | |
| Community Health Connections, Inc. | Current | Accepting new patients | |
| Community Health Connections, Inc. | Current | Accepting new patients | |
| Community Health Connections, Inc. | Current | Accepting new patients |
Locations
890 W Elliot Rd
Fl 1
Gilbert, AZ 85233
Phone (508) 344-7530
15333 N Pima Rd
Ste 305
Scottsdale, AZ 85260
Phone (480) 225-3236
326 Nichols Rd
Fitchburg, MA 01420
Phone (978) 343-5270
175 Connors St
Gardner, MA 01440
Phone (978) 410-6100
14 Manning Ave
Leominster, MA 01453
Phone (978) 847-0110
21 SW Cutoff
Northborough, MA 01532
Phone (508) 344-7530
120 Stafford St
Worcester, MA 01603
Phone (508) 344-7530
Interoperability endpoints
- grace.mbuya.p1@direct.chcfhc.nextgenshare.com
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Fitchburg, MA
- NPI 1477580827
-
- Federally Qualified Health Center (FQHC)
- Gardner, MA
- NPI 1225742174
-
- Federally Qualified Health Center (FQHC)
- Leominster, MA
- NPI 1891953048
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744329600000",
"number": "1104225341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 SW CUTOFF",
"city": "NORTHBOROUGH",
"state": "MA",
"postal_code": "015322135",
"telephone_number": "508-344-7530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 STAFFORD ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016031457",
"telephone_number": "508-344-7530"
}
],
"practiceLocations": [
{
"address_1": "15333 N Pima Rd",
"address_purpose": "LOCATION",
"city": "Scottsdale",
"state": "AZ",
"postal_code": "852602783",
"country_code": "US",
"telephone_number": "508-344-7530",
"fax_number": "508-466-8282",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "21 SW Cutoff",
"address_purpose": "LOCATION",
"city": "Northborough",
"state": "MA",
"postal_code": "015322135",
"country_code": "US",
"telephone_number": "508-344-7530",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MBUYA",
"first_name": "GRACE",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-13",
"last_updated": "2025-04-11",
"certification_date": "2025-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "MA",
"license": "284646",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MA",
"license": "RN284646",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AZ",
"license": "316951",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "RN284646",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PIDSL110186617A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; 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.