Active NPI
Queendroline Nkeh
- Psychiatric/Mental Health Nurse Practitioner
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- C-APN.0101297-C-NP
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | encript |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, MA, IA, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Single Specialty | Current | Accepting new patients |
| Gaq Inner Peace Psychiatry | Single Specialty | Current | Accepting new patients |
| Meditelecare of Iowa PLLC | Single Specialty | Current | Accepting new patients |
| Engrace Behavioral Health Services LLC | Single Specialty | Current | Accepting new patients |
| Meditelecare of Missouri LLC | Single Specialty | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Randolph, MA
- NPI 1013416387
Single Specialty
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Cedar Rapids, IA
- NPI 1255028973
CO, Single Specialty
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.