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RAFIA NICOLA GROOMS DNP
NPI 1043712003
Nurse Practitioner - Psychiatric/Mental Health in Sewell, NJ

Active since March 06, 2018PECOS EnrolledAccepts Medicare Assignment
432 GANTTOWN RD STE 103, SEWELL, NJ 08080(856) 965-1000(856) 965-1001 Get Directions Write a Review

NPPES record last updated: January 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 9, 2025, Nov 19, 2024, Jun 22, 2024 and 5 more (8 updates tracked since 2018).

About Rafia Nicola Grooms Dnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAFIA NICOLA GROOMS DNP (NPI 1043712003) is an individual psychiatric/mental health provider in Sewell, New Jersey, licensed in New Jersey (26NJ00854600) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1043712003
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameRAFIA NICOLA GROOMSCredential: DNP
Location Address432 GANTTOWN RD STE 103Sewell, NJ 08080-1895
Mailing Address701 Devonshire DrWilliamstown, NJ 08094-3897 · (215) 888-5605
Phone(856) 965-1000
Fax(856) 965-1001
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 6, 2018
Last NPPES UpdateJanuary 9, 20258 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2025
✔ NPI 1043712003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NJ · 26NJ00854600
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License SP018667 (PA), 26NJ00854600 (NJ)
432 GANTTOWN RD STE 103, Sewell, NJ 08080
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield Delaware, Highmark Blue Cross Blue Shield West Virginia, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rafia Nicola Grooms Dnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739436239
PECOS Enrollment IDI20181220001959
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Rafia Grooms reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Elite Integrated Health LLC
Same address
Adult Mental Health
432 GANTTOWN RD STE 103
Sewell, NJ 08080
  • Reassigned Medicare billing, New Jersey enrollment
NPI 1023797420 (856) 965-1000
Grow Healthcare Group Of New Jersey PC
88 mi
Mental Health
221 RIVER ST. FL 9
Hoboken, NJ 07030
  • Reassigned Medicare billing, New Jersey enrollment
  • 673 clinicians in this Medicare group
NPI 1841949328 (201) 439-8902
Middlesex Psychiatry & Tms PC
89 mi
Psychiatry
165 PASSAIC AVE, SUITE 200
Fairfield, NJ 07004
  • Reassigned Medicare billing, New Jersey enrollment
  • 78 clinicians in this Medicare group
NPI 1053971572 (800) 413-8020
Grow Healthcare Group PA
1,007 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Connecticut, Delaware and Pennsylvania enrollments
  • 613 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08080 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers32 claims70 services$4.53 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers24 claims31 services$0.85 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$3.52 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
2 suppliers14 claims2,522 services$0.04 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELITE INTEGRATED HEALTH LLC
Clinic/Center (Adult Mental Health)
432 GANTTOWN RD STE 103
SEWELL, NJ 08080
Gloucester County (856) 965-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rafia Grooms's NPI number?

The NPI number for Rafia Grooms is 1043712003. It was assigned to this individual provider in the NPPES registry on March 6, 2018.

Where is Rafia Grooms located?

Rafia Grooms practices at 432 Ganttown Rd Ste 103, Sewell, NJ 08080. The listed phone number is (856) 965-1000.

What is Rafia Grooms's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Rafia Grooms enrolled in Medicare?

Yes. Rafia Grooms is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Rafia Grooms's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rafia Grooms reassigns Medicare benefits to 4 organizations: Elite Integrated Health LLC (Sewell, NJ), Grow Healthcare Group Of New Jersey PC (Hoboken, NJ), Middlesex Psychiatry & Tms PC (Fairfield, NJ) and Grow Healthcare Group PA (Miami, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rafia Grooms's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rafia Grooms accept?

Health plans from Highmark Blue Cross Blue Shield Delaware, Highmark Blue Cross Blue Shield West Virginia and Oscar Health list Rafia Grooms as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rafia Grooms was last updated on January 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.