Individual provider Active NPI

Victor O Boadu, DNP, CNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Worcester, MA
National Provider Identifier
1598377699
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2283917 Issued in MA
Practice address
445 Grove St
Worcester, MA 01605-1225
Phone
(508) 365-5228
Fax
(508) 213-3995
NPI assigned
Aug 19, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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 RN2283917 MA Primary

Addresses

Primary practice location

445 Grove St
Worcester, MA 01605-1225

Mailing address

445 Grove St
Worcester, MA 01605-1225
Phone (508) 365-5228

Other practice location 1

100 Century Dr
Worcester, MA 01606-1244
Phone (508) 762-5400

Other practice location 2

275 Nichols Rd
Fitchburg, MA 01420-1919
Phone (978) 401-3988

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
I20220906001112 MA Practitioner - Nurse Practitioner 3779967039 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Umass Memorial Medical Group IncGroup PAC ID 4284539891, 2,494 clinicians

Practice addresses (Care Compare)

100 Century Dr
Worcester, MA 01606-1244
Phone (508) 762-5400

415 Boston Tpke
Suite 308E
Shrewsbury, MA 01545-3446
Phone (774) 239-3410

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
82.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2283917MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Healthlink, Inc. CurrentSince Aug 22, 2022 Accepting new patients
Community Counseling Center PLLC Psychiatric/Mental Health CurrentSince Oct 9, 2022 Accepting new patients
Umass Memorial Medical Group Inc CurrentSince Jan 2, 2023 Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Jan 2, 2023 Accepting new patients
Community Healthlink Inc CurrentSince Aug 22, 2022 Accepting new patients

Locations

275 Nichols Rd
Fitchburg, MA 01420
Phone (978) 343-5048

40 Spruce St
#2
Leominster, MA 01453
Phone (978) 534-6116

415 Boston Tpke
Ste 308E
Shrewsbury, MA 01545
Phone (774) 239-3410

415 Boston Tpke
Ste 201
Shrewsbury, MA 01545
Phone (201) 962-9066

72 Jaques Ave
Worcester, MA 01610
Phone (508) 860-1154

12 Queen St
Worcester, MA 01610
Phone (508) 860-1242

445 Grove St
Worcester, MA 01605
Phone (508) 755-0372

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

100 Century Dr
Worcester, MA 01606
Phone (508) 762-5400

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1598377699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 GROVE ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016051225",
            "telephone_number": "508-365-5228",
            "fax_number": "508-213-3995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 GROVE ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016051225",
            "telephone_number": "508-365-5228",
            "fax_number": "508-213-3995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Century Dr",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016061244",
            "country_code": "US",
            "telephone_number": "508-762-5400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "275 Nichols Rd",
            "address_purpose": "LOCATION",
            "city": "Fitchburg",
            "state": "MA",
            "postal_code": "014201919",
            "country_code": "US",
            "telephone_number": "978-401-3988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOADU",
        "first_name": "VICTOR",
        "middle_name": "O",
        "credential": "DNP, CNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-19",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2283917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.