Individual provider Active NPI

Obiageli L Ukatu

  • Psychiatric/Mental Health Nurse Practitioner
  • Fall River, MA
National Provider Identifier
1558031518
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2273887 Issued in MA
Practice address
126 Cove St
Fall River, MA 02720-1357
Phone
(508) 678-0041
Fax
(508) 324-9002
NPI assigned
Sep 20, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X RN2273887 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2273887 MA Primary

Addresses

Primary practice location

126 Cove St
Fall River, MA 02720-1357

Mailing address

126 Cove St
Fall River, MA 02720-1357
Phone (508) 678-0041

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
I20231121002605 MA Practitioner - Nurse Practitioner 6800244476 Reassigns benefits to 5 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
Northeast Health Services LLCGroup PAC ID 6901866706, 470 clinicians
Supportive Behavioral Care of Ma LLCGroup PAC ID 8628346731, 103 clinicians

Practice addresses (Care Compare)

Brockton, MA 02301
Phone (774) 419-6098

126 Cove St
Fall River, MA 02720-1306
Phone (508) 678-0041

44 School St
RM 325
Boston, MA 02108-4209
Phone (718) 298-4375

Merit-based Incentive Payment System (MIPS)

Final score
86.67 of 100Reported as group
Quality
71.18
Improvement activities
40
Cost
75.07

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Medical Group, P.C. Single Specialty CurrentSince Oct 12, 2023 Accepting new patients
Supportive Behavioral Care of Ma LLC Single Specialty CurrentSince Feb 20, 2024 Accepting new patients
The May Institute, Inc Single Specialty CurrentSince Jul 1, 2024 Accepting new patients
Northeast Health Services, LLC Single Specialty CurrentSince Jul 1, 2024 Accepting new patients
Overcomers Behavioral Health Services LLC Single Specialty CurrentSince Dec 3, 2025 Accepting new patients

Locations

44 School St
Rm 325
Boston, MA 02108
Phone (508) 831-8558

275 Turnpike St
Ste 206
Canton, MA 02021
Phone (617) 991-9151

126 Cove St
Fall River, MA 02720
Phone (508) 678-0041

30 Taunton Grn
Ste 5
Taunton, MA 02780
Phone (508) 545-7400

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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": "1632096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1558031518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 COVE ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027201357",
            "telephone_number": "508-678-0041",
            "fax_number": "508-324-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 COVE ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027201357",
            "telephone_number": "508-678-0041",
            "fax_number": "508-324-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UKATU",
        "first_name": "OBIAGELI",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-20",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2273887",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2273887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.