Individual provider Active NPI

Okatakyie Akwasi Afrifa

  • Psychiatric/Mental Health Nurse Practitioner
  • Gardner, MA
National Provider Identifier
1831959303
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2339936 Issued in MA
Practice address
999 W Broadway
Gardner, MA 01440-2884
Phone
(978) 876-6140
NPI assigned
Mar 20, 2024
Last updated
Apr 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 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 RN2339936 MA Primary

Addresses

Primary practice location

999 W Broadway
Gardner, MA 01440-2884

Mailing address

999 W Broadway
Gardner, MA 01440-2884
Phone (978) 876-6140

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
I20250417002721 MA Practitioner - Nurse Practitioner 7416472899 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nie Health IncGroup PAC ID 0446698039, 6 clinicians

Practice addresses (Care Compare)

100 Cummings Ctr
Suite 204G
Beverly, MA 01915-6286
Phone (978) 993-1988

85 Patton Rd
Devens, MA 01434-4401
Phone (978) 615-5200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN2339936MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Devens Treatment & Recovery Center, LLC Psychiatric/Mental Health CurrentSince Dec 13, 2025 Accepting new patients
Clearbrook Treatment Center Massachusetts LLC Past Accepting new patients

Locations

19 Midstate Dr
Ste 110
Auburn, MA 01501

85 Patton Rd
Devens, MA 01434
Phone (978) 615-5200

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1831959303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 W BROADWAY",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014402884",
            "telephone_number": "978-876-6140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 W BROADWAY",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014402884",
            "telephone_number": "978-876-6140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AFRIFA",
        "first_name": "OKATAKYIE",
        "middle_name": "AKWASI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-20",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2339936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardner, MA

Sources for this page

Verify at the official NPI Registry.