Active NPI
Orobosa Osawonuyi
- Psychiatric/Mental Health Nurse Practitioner
- Worcester, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- RN2306128
- Practice address
- 435 Shrewsbury St
Worcester, MA 01604-1689 - Phone
- (508) 753-5554
- NPI assigned
- Feb 11, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN2306128 | MA | Primary |
Addresses
Primary practice location
435 Shrewsbury St
Worcester, MA 01604-1689
Mailing address
435 Shrewsbury St
Worcester, MA 01604-1689
Phone (508) 753-5554
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
435 Shrewsbury St
Worcester, MA 01604-1689
Phone 5087535554110
651 Orchard St
Suite 202a
New Bedford, MA 02744-1052
Phone (774) 202-3090
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2306128 | MA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Healthcare Services | Current | Accepting new patients | |
| Geriatric Internal Medicine Specialists, LLC | Current | Accepting new patients |
Locations
435 Shrewsbury St
Ste 1
Worcester, MA 01604
Phone (508) 753-5554
435 Shrewsbury St
Worcester, MA 01604
Phone (508) 577-2017
Organizations & group practices 2
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.
-
- Psychiatry Physician
- Worcester, MA
- NPI 1346397437
-
- Geriatric Medicine (Internal Medicine) Physician
- North Dartmouth, MA
- NPI 1437454287
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695168000000",
"number": "1922691880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "435 SHREWSBURY ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016041689",
"telephone_number": "508-753-5554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 SHREWSBURY ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016041689",
"telephone_number": "508-753-5554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSAWONUYI",
"first_name": "OROBOSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-11",
"last_updated": "2023-09-20",
"certification_date": "2021-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MA",
"license": "RN2306128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.