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MS. JELYA INGRID FATAWU PMHMP-BC
NPI 1184331902
Nurse Practitioner - Psychiatric/Mental Health in Wentzville, MO

Active since November 01, 2022PECOS Enrolled
4 LIBERTY GROVE CT, WENTZVILLE, MO 63385(216) 246-5697(314) 216-3851 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Apr 7, 2025, Nov 1, 2022 (2 updates tracked since 2022).

About Ms. Jelya Ingrid Fatawu Pmhmp-bc NPPES

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

MS. JELYA INGRID FATAWU PMHMP-BC (NPI 1184331902) is an individual psychiatric/mental health provider in Wentzville, Missouri, licensed in Missouri (2022035166) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184331902
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. JELYA INGRID FATAWUCredential: PMHMP-BC
Location Address4 LIBERTY GROVE CTWentzville, MO 63385-7188
Mailing Address4 Liberty Grove CtWentzville, MO 63385-7188
Phone(216) 246-5697
Fax(314) 216-3851
Sole ProprietorYes
Enumeration DateNovember 1, 2022
Last NPPES UpdateApril 7, 20252 updates tracked since enumeration
NPPES CertifiedApril 7, 2025
✔ NPI 1184331902 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 MO · 2022035166
4 LIBERTY GROVE CT, Wentzville, MO 63385
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, Medica and more.Insurance ›

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. Jelya Ingrid Fatawu Pmhmp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 63385 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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 Jelya Fatawu's NPI number?

The NPI number for Jelya Fatawu is 1184331902. It was assigned to this individual provider in the NPPES registry on November 1, 2022.

Where is Jelya Fatawu located?

Jelya Fatawu practices at 4 Liberty Grove Ct, Wentzville, MO 63385. The listed phone number is (216) 246-5697.

What is Jelya Fatawu's specialty?

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

Is Jelya Fatawu enrolled in Medicare?

Yes. Jelya Fatawu is registered in the Medicare PECOS enrollment system.

What insurance does Jelya Fatawu accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, Medica, Oscar Insurance Company and UnitedHealthcare list Jelya Fatawu 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 Jelya Fatawu was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.