Individual provider Active NPI

Queendroline Nkeh

  • Psychiatric/Mental Health Nurse Practitioner
  • Boston, MA
National Provider Identifier
1730514381
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
C-APN.0101297-C-NP Issued in CO
Practice address
265 Franklin St Ste 1702
Boston, MA 02110-3144
Phone
(240) 486-8941
NPI assigned
Sep 13, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X C-APN.0101297-C-NP CO Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2375954 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G171992 IA

Addresses

Primary practice location

265 Franklin St Ste 1702
Boston, MA 02110-3144

Mailing address

1995 Winding Creek Dr
Marion, IA 52302-6444
Phone (240) 486-8941

Other practice location 1

4610 S Ulster St Ste 150
Denver, CO 80237-4326
Phone (240) 486-8941

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL encript

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, MA, IA, MO4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20240417001483 CO Practitioner - Nurse Practitioner 3779922265 Reassigns benefits to 2 organizations
I20241120003356 MA Practitioner - Nurse Practitioner 3779922265 Reassigns benefits to 1 organization
I20250411002849 IA Practitioner - Nurse Practitioner 3779922265 Reassigns benefits to 2 organizations
I20251010000690 MO Practitioner - Nurse Practitioner 3779922265 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Meditelecare of Iowa PLLCGroup PAC ID 0446512503, 5 clinicians
Meditelecare of Missouri LLCGroup PAC ID 2961764584, 6 clinicians

Practice addresses (Care Compare)

21 E Main St
Meditelecare 21
Waukon, IA 52172-1748
Phone 8607886404152

22371 State Hwy 46
Maryville, MO 64468-8157
Phone (860) 788-6404

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Single Specialty CurrentSince Mar 13, 2025 Accepting new patients
Gaq Inner Peace Psychiatry Single Specialty CurrentSince Mar 1, 2024 Accepting new patients
Meditelecare of Iowa PLLC Single Specialty CurrentSince Jun 1, 2025 Accepting new patients
Engrace Behavioral Health Services LLC Single Specialty CurrentSince Sep 1, 2024 Accepting new patients
Meditelecare of Missouri LLC Single Specialty CurrentSince Sep 2, 2025 Accepting new patients

Locations

1312 17th St
Denver, CO 80202
Phone (303) 997-0305

5445 Dtc Pkwy
Ph 4
Greenwood Village, CO 80111
Phone (720) 571-4874

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

4515 N River Blvd NE
Ste 200
Cedar Rapids, IA 52411
Phone (254) 423-8591

699 Walnut St
Ste 4
Des Moines, IA 50309
Phone (515) 278-9920

1700 S 1st Ave
Ste 25A
Iowa City, IA 52240
Phone (319) 849-8114

21 E Main St
#21
Waukon, IA 52172

201 Hall St
#21
West Union, IA 52175

950 N Main St
Ste 202
Randolph, MA 02368
Phone (617) 203-2009

22371 State Highway 46
Maryville, MO 64468
Phone (660) 562-2876

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.

NPI Registry JSON

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

{
    "created_epoch": "1379030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1730514381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1995 WINDING CREEK DR",
            "city": "MARION",
            "state": "IA",
            "postal_code": "523026444",
            "telephone_number": "240-486-8941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 FRANKLIN ST STE 1702",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021103144",
            "telephone_number": "240-486-8941"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4610 S Ulster St Ste 150",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802374326",
            "country_code": "US",
            "telephone_number": "240-486-8941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NKEH",
        "first_name": "QUEENDROLINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-13",
        "last_updated": "2024-04-10",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "C-APN.0101297-C-NP",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2375954",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G171992",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "encript",
            "affiliation": "N",
            "address_1": "1995 Winding Creek Dr",
            "city": "Marion",
            "state": "IA",
            "country_code": "US",
            "postal_code": "523026444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.