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MS. MODUPE D MCINTOSH CPNP
NPI 1174522916
Nurse Practitioner - Psychiatric/Mental Health in Clearwater, FL

Active since July 14, 2005PECOS EnrolledAccepts Medicare Assignment
13577 FEATHER SOUND DR, CLEARWATER, FL 33762(904) 902-4408(904) 420-4745 Get Directions Write a Review

NPPES record last updated: March 20, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ms. Modupe D Mcintosh Cpnp NPPES

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

MS. MODUPE D MCINTOSH CPNP (NPI 1174522916) is an individual psychiatric/mental health provider in Clearwater, Florida, licensed in Florida (APRN11031023) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lilburn, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1174522916
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. MODUPE D MCINTOSHCredential: CPNP
Location Address13577 FEATHER SOUND DRClearwater, FL 33762-2258
Mailing Address635 Beaver Ruin Rd Nw, Suite BLilburn, GA 30047-3474 · (678) 807-2230 · Fax (770) 267-5710
Phone(904) 902-4408
Fax(904) 420-4745
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateJuly 14, 2005
Last NPPES UpdateMarch 20, 2024
NPPES CertifiedMarch 20, 2024
✔ NPI 1174522916 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 FL · APRN11031023
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License RN092844 (GA)
13577 FEATHER SOUND DR, Clearwater, FL 33762
Open in Google Maps ↗

Secondary Practice Location 1

Location 1635 Beaver Ruin Rd NW, Suite BLilburn, GA 30047-3474 · Phone (678) 807-2230 · Fax (770) 267-5710

Other Identifiers 3

Medicaid554500072AGA
Medicaid554500072DGA
Medicaid554500072EGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Oscar Health Maintenance Organization of Florida 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 and accepts Medicare assignment

Ms. Modupe D Mcintosh Cpnp 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 ID8921447947
PECOS Enrollment IDI20240423002795
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 Modupe Mcintosh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Serenity Tms Centers LLC
1,872 mi
Psychiatry
3300 N TRIUMPH BLVD STE 500
Lehi, UT 84043
  • Reassigned Medicare billing, Florida enrollment
  • 17 clinicians in this Medicare group
NPI 1710492095 (801) 821-2781

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 33762 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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 Modupe Mcintosh's NPI number?

The NPI number for Modupe Mcintosh is 1174522916. It was assigned to this individual provider in the NPPES registry on July 14, 2005.

Where is Modupe Mcintosh located?

Modupe Mcintosh practices at 13577 Feather Sound Dr, Clearwater, FL 33762. The listed phone number is (904) 902-4408.

What is Modupe Mcintosh's specialty?

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

Is Modupe Mcintosh enrolled in Medicare?

Yes. Modupe Mcintosh 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 organization bills Medicare for Modupe Mcintosh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Modupe Mcintosh reassigns Medicare benefits to Serenity Tms Centers LLC (Lehi, UT). 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 Modupe Mcintosh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Modupe Mcintosh accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Modupe Mcintosh 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 Modupe Mcintosh was last updated on March 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.