James K Muchiri
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Devens, MA
NPI 1750106902 · NPPES record last updated Nov 21, 2024
Key facts
- NPI
- 1750106902
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- RN2364010 (MA)
- Practice address
- 85 Patton Rd
Devens, MA 01434-4401 - Phone
- (978) 615-5200
- NPI assigned
- Nov 21, 2024
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Devens Treatment and Recovery Center LLC
Practice addresses (Care Compare)
85 Patton Rd
Devens, MA 01434-4401
Phone (978) 615-5200
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250203002884 | MA | Practitioner - Nurse Practitioner | 5294265492 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horizon Treatment Center PLLC | Psychiatric/Mental Health | Current |
Accepting new patients |
| Devens Treatment & Recovery Center, LLC | Psychiatry | Current |
Accepting new patients |
| Daylight Autism Services Inc | Current | Accepting new patients |
Locations
19 Midstate Dr
Ste 110
Auburn, MA 01501
85 Patton Rd
Devens, MA 01434
Phone (978) 615-5200
116 Belmont St
Ste 31
Worcester, MA 01605
Phone (508) 304-1298
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Psychiatry Physician | 2084F0202X | RN2364010 | MA | |
| Psychiatry Physician | 2084P0800X | RN2364010 | MA | |
| Addiction Psychiatry Physician | 2084P0802X | RN2364010 | MA | |
| Geriatric Psychiatry Physician | 2084P0805X | RN2364010 | MA | |
| Pain Medicine (Psychiatry & Neurology) Physician | 2084P2900X | RN2364010 | MA | |
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X | RN2364010 | MA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN2364010 | MA | Yes |
Addresses
Primary practice location
85 Patton Rd
Devens, MA 01434-4401
Mailing address
85 Patton Rd
Devens, MA 01434-4401
Other providers in Devens, MA
- Kendra Marie Maltais
- Massachusetts Development Finance Agency
- Jean D. Mesquita Mello
- Holly Miller
- Ysabel Morales
- Kendra Beth Munkacsy
- New England Counseling Services LLC
- Ramsey Rehabilitation, Inc.
- Joseph N Ricciardi II
- Ericka Rice-Aquino
All providers in Devens, MA · Psychiatric/Mental Health Nurse Practitioner in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.