Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tracy Otubu

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1194516773

Tracy Otubu is a Nurse Practitioner in Needham, Massachusetts. Qualified in 2025, 1 year ago. Practices with Northeast Health Services LLC, a 469-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
1
Licensed in
MA
In the registry since
2025
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

322 Reservoir St
Needham, MA 02494-3169
Phone: (877) 920-6583
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence RN2365786 (MA)

Record details

NPI number1194516773
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 14, 2025
Last updated in NPPESJanuary 13, 2026
Certification dateJanuary 13, 2026
Mailing address867 Boylston St Fl 5, Boston, MA 02116-2774

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Northeast Health Services Llc — 469 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Needham