Individual provider Active NPI

Annet Nakku Mukasa, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Boston, MA
National Provider Identifier
1972004182
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2314055 Issued in MA
Practice address
1 Boston Medical Ctr PL
Boston, MA 02118-2908
Phone
(508) 408-9200
NPI assigned
Feb 22, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X RN2314055 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2314055 MA Primary

Addresses

Primary practice location

1 Boston Medical Ctr PL
Boston, MA 02118-2908

Mailing address

960 Massachusetts Ave
Boston, MA 02118-2620

Other practice location 1

240 Bear Hill Rd Ste 104
Waltham, MA 02451-1026
Phone (617) 340-3559

Other practice location 2

909 Sumner St
Stoughton, MA 02072-3396
Phone (508) 495-9812

Other names 1

  • Annet Mugwanya Kabuusu Former name

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
I20190410000739 MA Practitioner - Nurse Practitioner 9638410103 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Global Behavioral Healthcare LLCGroup PAC ID 5991124935, 2 clinicians
Boston University Psychiatry Associates, Inc.Group PAC ID 7911805361, 104 clinicians

Practice addresses (Care Compare)

240 Bear Hill Rd
Suite 104
Waltham, MA 02451-1026
Phone (407) 476-5615

303 Wyman St
FL 3
Waltham, MA 02451-1208

34 N Pearl St
Brockton, MA 02301-1708
Phone (508) 408-9200

85 E Newton St
Suite 905
Boston, MA 02118-2340
Phone (617) 414-5245

Hospital & facility affiliations

  • Good Samaritan Medical Center Hospital, Brockton, MA, CCN 220111
  • Signature Healthcare Brockton Hospital Hospital, Brockton, MA, CCN 220052

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2314055MAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Medical Center Corporation Current Accepting new patients
Devens Treatment & Recovery Center, LLC Single Specialty CurrentSince Jun 24, 2023 Accepting new patients
Steward Medical Group, Inc Single Specialty CurrentSince Apr 27, 2020 Accepting new patients
Global Behavioral Healthcare LLC Single Specialty CurrentSince Jan 27, 2020 Accepting new patients
Steward Medical Group, Inc Single Specialty CurrentSince Apr 27, 2020 Accepting new patients
Arbour Inc Single Specialty CurrentSince Mar 30, 2019 Accepting new patients
Boston University Psychiatry Associates, Inc. Single Specialty CurrentSince Mar 31, 2025 Accepting new patients
Arbour Inc CurrentSince Mar 30, 2019 Accepting new patients

Locations

19 Midstate Dr
Ste 110
Auburn, MA 01501

960 Massachusetts Ave
Ste 2
Boston, MA 02118

85 East Newton St
Ste 905
Boston, MA 02118
Phone (617) 414-5245

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

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

49 Robinwood Ave
Jamaica Plain, MA 02130
Phone (617) 390-1204

1 Boston Medical Ctr Pl
Roxbury, MA 02118
Phone (617) 414-5245

909 Sumner St
Stoughton, MA 02072
Phone (508) 427-2480

240 Bear Hill Rd
Ste 104
Waltham, MA 02451
Phone (617) 340-3559

Interoperability endpoints

  • Direct secure messaging: amukasa253421@direct.bmc.masshiway.net
  • Direct secure messaging: globalbehavioralhealthcare@144901.advancedmd-direct.com

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1972004182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 MASSACHUSETTS AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BOSTON MEDICAL CTR PL",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182908",
            "telephone_number": "508-408-9200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "240 Bear Hill Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Waltham",
            "state": "MA",
            "postal_code": "024511026",
            "country_code": "US",
            "telephone_number": "617-340-3559",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "909 Sumner St",
            "address_purpose": "LOCATION",
            "city": "Stoughton",
            "state": "MA",
            "postal_code": "020723396",
            "country_code": "US",
            "telephone_number": "508-495-9812",
            "fax_number": "508-495-9811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUKASA",
        "first_name": "ANNET",
        "middle_name": "NAKKU",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-22",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2314055",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2314055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNET",
            "last_name": "KABUUSU",
            "middle_name": "MUGWANYA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.