MS. KIABEH JALLAH
NPI 1124919592
Nurse Practitioner - Psychiatric/Mental Health in Oswego, NY

Active since July 14, 2025PECOS Enrolled
283 W 2ND ST # 200, OSWEGO, NY 13126(315) 342-4489 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Kiabeh Jallah NPPES

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

MS. KIABEH JALLAH (NPI 1124919592) is an individual psychiatric/mental health provider in Oswego, New York, licensed in New York (407077) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of State University Of Ny Upstate Medical University (2025).

NPPES Registry Identity

NPI1124919592
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. KIABEH JALLAH
Location Address283 W 2ND ST # 200Oswego, NY 13126-3833
Mailing Address283 W 2nd StOswego, NY 13126-3833 · (315) 342-4489
Sole ProprietorYes
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 2025
Enumeration DateJuly 14, 2025
Last NPPES UpdateJune 8, 2026
NPPES CertifiedJune 8, 2026
NPI 1124919592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in NY · 407077
283 W 2ND ST # 200, Oswego, NY 13126

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ms. Kiabeh Jallah is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840761839
PECOS Enrollment IDI20260610002091
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13126 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Other Providers at the Same Location NPPES

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

Registered Nurse (Addiction (Substance Use Disorder))
283 W 2ND ST # 200
OSWEGO, NY 13126

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 Kiabeh Jallah's NPI number?

The NPI number for Kiabeh Jallah is 1124919592. It was assigned to this individual provider in the NPPES registry on July 14, 2025.

Where is Kiabeh Jallah located?

Kiabeh Jallah practices at 283 W 2nd St # 200, Oswego, NY 13126. The listed phone number is (315) 342-4489.

What is Kiabeh Jallah's specialty?

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

Is Kiabeh Jallah enrolled in Medicare?

Yes. Kiabeh Jallah is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kiabeh Jallah was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.