Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MS. FAWAZAT MARIA AGORO PMHNP
NPI 1134849334
Nurse Practitioner - Psychiatric/Mental Health in Providence, RI

Active since August 30, 2022PECOS Enrolled
1075 SMITH ST, PROVIDENCE, RI 02908(401) 369-9224 Get Directions Write a Review

NPPES record last updated: September 11, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 11, 2026, Jul 11, 2025, Jul 2, 2025 and 1 more (4 updates tracked since 2022).

About Ms. Fawazat Maria Agoro Pmhnp NPPES

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

MS. FAWAZAT MARIA AGORO PMHNP (NPI 1134849334) is an individual psychiatric/mental health provider in Providence, Rhode Island, licensed in Rhode Island (APRN04593) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in West Warwick, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1134849334
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. FAWAZAT MARIA AGOROCredential: PMHNP
Location Address1075 SMITH STProvidence, RI 02908-2700
Mailing Address1075 Smith St Ste 2Providence, RI 02908-2700
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 30, 2022
Last NPPES UpdateSeptember 11, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2026
✔ NPI 1134849334 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 RI · APRN04593
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APRN03235 (RI)
1075 SMITH ST, Providence, RI 02908

Secondary Practice Location 1

Location 11300 Division Rd Ste 301West Warwick, RI 02893-7558 · Phone (401) 369-9224

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Fawazat Maria Agoro Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1355814401
PECOS Enrollment IDI20260622000722
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 Reassignment

Medicare enrollment records show Fawazat Agoro reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
1075 SMITH ST
Providence, RI 02908
  • Reassigned Medicare billing, Rhode Island enrollment
  • 27 clinicians in this Medicare group

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 02908 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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 8

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

Psychologist (Clinical)
1075 SMITH ST
PROVIDENCE, RI 02908
Social Worker
1075 SMITH ST
PROVIDENCE, RI 02908
Durable Medical Equipment & Medical Supplies
1075 SMITH ST
PROVIDENCE, RI 02908
Non-Pharmacy Dispensing Site
1075 SMITH ST, 2ND FLOOR
PROVIDENCE, RI 02908
Psychologist
1075 SMITH ST
PROVIDENCE, RI 02908
Social Worker (Clinical)
1075 SMITH ST
PROVIDENCE, RI 02908
Psychologist (Clinical)
1075 SMITH ST
PROVIDENCE, RI 02908
Podiatrist
1075 SMITH ST
PROVIDENCE, RI 02908

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 Fawazat Agoro's NPI number?

The NPI number for Fawazat Agoro is 1134849334. It was assigned to this individual provider in the NPPES registry on August 30, 2022.

Where is Fawazat Agoro located?

Fawazat Agoro practices at 1075 Smith St, Providence, RI 02908. The listed phone number is (401) 369-9224.

What is Fawazat Agoro's specialty?

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

Is Fawazat Agoro enrolled in Medicare?

Yes. Fawazat Agoro is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Fawazat Agoro's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fawazat Agoro reassigns Medicare benefits to Providence Behavioral Health Associates Inc (Providence, RI). The 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 Fawazat Agoro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Fawazat Agoro accept?

Health plans from Harvard Pilgrim Health Care list Fawazat Agoro 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 Fawazat Agoro was last updated on September 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 days 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.