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JACQUELINE MBUAGBAW FOSAH
NPI 1164032975
Nurse Practitioner - Psychiatric/Mental Health in Houston, TX

Active since August 06, 2020PECOS Enrolled
1504 BEN TAUB LOOP, HOUSTON, TX 77030(712) 873-2000 Get Directions Write a Review

NPPES record last updated: August 6, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jacqueline Mbuagbaw Fosah NPPES

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

JACQUELINE MBUAGBAW FOSAH (NPI 1164032975) is an individual psychiatric/mental health provider in Houston, Texas, licensed in Texas (AP145962) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1164032975
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJACQUELINE MBUAGBAW FOSAH
Location Address1504 BEN TAUB LOOPHouston, TX 77030
Mailing Address5635 W Harrow DrHouston, TX 77084-1869 · (651) 398-2927
Phone(712) 873-2000
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 6, 2020
NPPES CertifiedAugust 6, 2020
✔ NPI 1164032975 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 TX · AP145962
1504 BEN TAUB LOOP, Houston, TX 77030
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Cigna Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Mbuagbaw Fosah is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587040308
PECOS Enrollment IDI20221003000940
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

3

Medicare enrollment records show Jacqueline Fosah reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kinghaven Counseling Group Inc
6.3 mi
Case Management
6100 HILLCROFT AVE STE 642
Houston, TX 77081
  • Reassigned Medicare billing, Texas enrollment
  • 53 clinicians in this Medicare group
NPI 1396807350 (713) 457-4372
Houston Sleep And Narcolepsy PLLC
26 mi
Sleep Disorder Diagnostic
14119 BOERNE COUNTRY DR
Cypress, TX 77429
  • Reassigned Medicare billing, Texas enrollment
  • 8 clinicians in this Medicare group
NPI 1992329395 (713) 465-9282
Eleanor Health Professional Tx, PLLC
183 mi
Addiction Medicine
8500 VILLAGE DR STE 101
San Antonio, TX 78217
  • Reassigned Medicare billing, Texas enrollment
  • 38 clinicians in this Medicare group
NPI 1932854981 (726) 201-3047

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 77030 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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 20

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

HAL ZHANG MD
Internal Medicine
1504 BEN TAUB LOOP
HOUSTON, TX 77030
Harris County (713) 873-2000
ROBIN DAVID DAEMMRICH MD
Student in an Organized Health Care Education/Training Program
1504 BEN TAUB LOOP
HOUSTON, TX 77030
Harris County (713) 873-2000
THUYEN HONG NGUYEN MD
Emergency Medicine
1504 BEN TAUB LOOP
HOUSTON, TX 77030
Harris County (713) 873-2000
PEYMAN DINARVAND M.D
Pathology (Anatomic Pathology)
1504 BEN TAUB LOOP
HOUSTON, TX 77030
Harris County (713) 873-2000
MRS. MARITE DOMENECH-NEWHOUES RD, LD
Dietitian, Registered
1504 BEN TAUB LOOP
HOUSTON, TX 77030
Harris County (713) 873-2000
DR. AMY LASCELLES HEIBEL M.D.
Internal Medicine (Pulmonary Disease)
1504 BEN TAUB LOOP
HOUSTON, TX 77030
Harris County (281) 952-0384
DR. RACHEL MICHELLE ORTEGA MD
Student in an Organized Health Care Education/Training Program
1504 BEN TAUB LOOP
HOUSTON, TX 77030
Harris County (713) 873-2000
NASHID SHINTHIA M.D.
Emergency Medicine
1504 BEN TAUB LOOP
HOUSTON, TX 77030
Harris County (713) 873-2000

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 Jacqueline Fosah's NPI number?

The NPI number for Jacqueline Fosah is 1164032975. It was assigned to this individual provider in the NPPES registry on August 6, 2020.

Where is Jacqueline Fosah located?

Jacqueline Fosah practices at 1504 Ben Taub Loop, Houston, TX 77030. The listed phone number is (712) 873-2000.

What is Jacqueline Fosah's specialty?

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

Is Jacqueline Fosah enrolled in Medicare?

Yes. Jacqueline Fosah is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jacqueline Fosah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Fosah reassigns Medicare benefits to 3 organizations: Kinghaven Counseling Group Inc (Houston, TX), Houston Sleep And Narcolepsy PLLC (Cypress, TX) and Eleanor Health Professional Tx, PLLC (San Antonio, TX). 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 Jacqueline Fosah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacqueline Fosah accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Cigna Healthcare and Imperial Insurance Companies, Inc. list Jacqueline Fosah 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 Jacqueline Fosah was last updated on August 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.