Individual provider Active NPI

Irhene Kelvin Osagie, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Stoughton, MA
National Provider Identifier
1215365382
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2302584 Issued in MA
Practice address
14 Page Ter Ste 3CD
Stoughton, MA 02072-4602
Phone
(781) 205-9944
NPI assigned
Oct 28, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 2302584 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2302584 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2302584 MA Primary

Addresses

Primary practice location

14 Page Ter Ste 3CD
Stoughton, MA 02072-4602

Mailing address

PO Box 808
Stoughton, MA 02072-0808

Other practice location 1

37 Rose Glen St
Stoughton, MA 02072-2448
Phone (857) 492-6410

Other practice location 2

34 Aspen St
Brockton, MA 02302-1426
Phone (857) 492-6410

Other practice location 3

909 Sumner St
Stoughton, MA 02072-3396
Phone (857) 492-6410

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
I20210727002016 MA Practitioner - Nurse Practitioner 6204239379 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
High Point Treatment Center IncGroup PAC ID 3779578174, 41 clinicians

Practice addresses (Care Compare)

68 N Front St
New Bedford, MA 02740-7327
Phone (508) 992-1500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2302584MAMDPsychiatric/Mental Health Nurse Practitioner
RN2302584MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
High Point Treatment Center Inc. CurrentSince Mar 31, 2021 Accepting new patients
Spring of Hope Health Services Inc Psychiatric/Mental Health CurrentSince Mar 30, 2022 Accepting new patients

Locations

10 Meadowbrook Rd
Brockton, MA 02301
Phone (508) 584-9210

30 Meadowbrook Rd
Brockton, MA 02301
Phone (508) 408-6190

108 N Front St
New Bedford, MA 02740
Phone (508) 689-5576

72 Kilburn St
New Bedford, MA 02740
Phone (774) 213-8448

68 N Front St
New Bedford, MA 02740
Phone (508) 689-5576

1233 State Rd
Plymouth, MA 02360
Phone (508) 224-6527

61 Industrial Park Rd
Plymouth, MA 02360
Phone (508) 746-8977

14 Page Ter
Ste 3CD
Stoughton, MA 02072
Phone (781) 205-9944

Organizations & group practices 2

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": "1382918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1215365382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 808",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020720808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 PAGE TER STE 3CD",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020724602",
            "telephone_number": "781-205-9944"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37 Rose Glen St",
            "address_purpose": "LOCATION",
            "city": "Stoughton",
            "state": "MA",
            "postal_code": "020722448",
            "country_code": "US",
            "telephone_number": "857-492-6410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "34 Aspen St",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "023021426",
            "country_code": "US",
            "telephone_number": "857-492-6410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "909 Sumner St",
            "address_purpose": "LOCATION",
            "city": "Stoughton",
            "state": "MA",
            "postal_code": "020723396",
            "country_code": "US",
            "telephone_number": "857-492-6410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSAGIE",
        "first_name": "IRHENE",
        "middle_name": "KELVIN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-28",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "2302584",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2302584",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "2302584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoughton, MA

Sources for this page

Verify at the official NPI Registry.