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MS. KEMEALO DIANE MOUSSATCHA NP
NPI 1245833805
Nurse Practitioner - Psychiatric/Mental Health in Malden, MA

Active since November 17, 2020PECOS Enrolled
75 PLEASANT ST, MALDEN, MA 02148(617) 756-8310(781) 605-0528 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2026, Feb 16, 2023, Nov 17, 2020 (3 updates tracked since 2020).

About Ms. Kemealo Diane Moussatcha Np NPPES

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

MS. KEMEALO DIANE MOUSSATCHA NP (NPI 1245833805) is an individual psychiatric/mental health provider in Malden, Massachusetts, licensed in Massachusetts (RN2302863) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Boston, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1245833805
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. KEMEALO DIANE MOUSSATCHACredential: NP
Location Address75 PLEASANT STMalden, MA 02148-3087
Mailing Address75 Pleasant StMalden, MA 02148-3087 · (617) 756-8310 · Fax (781) 605-0528
Phone(617) 756-8310
Fax(781) 605-0528
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 17, 2020
Last NPPES UpdateJuly 21, 20263 updates tracked since enumeration
NPPES CertifiedJuly 21, 2026
✔ NPI 1245833805 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 MA · RN2302863
75 PLEASANT ST, Malden, MA 02148
Open in Google Maps ↗

Secondary Practice Location 1

Location 144 School StBoston, MA 02108-4201 · Phone (617) 756-8310 · Fax (781) 605-0528

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.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. Kemealo Diane Moussatcha Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113469818
PECOS Enrollment IDI20260318002168, I20260324003991, I20260413003117, I20260428001808
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

4

Medicare enrollment records show Kemealo Moussatcha reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Atrius Health, Inc.
2.0 mi
Internal Medicine
26 CITY HALL MALL
Medford, MA 02155
  • Reassigned Medicare billing, Massachusetts enrollment
  • 1,317 clinicians in this Medicare group
NPI 1447464102 (781) 306-5100
Olaemek Health And Wellness Services LLC
4.8 mi
Psychiatric/Mental Health
44 SCHOOL ST STE 505
Boston, MA 02108
  • Reassigned Medicare billing, Connecticut, Massachusetts, New Hampshire and Vermont enrollments
NPI 1740076124 (617) 756-8310
Grow Healthcare Group PA
1,260 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Massachusetts, New Hampshire, New York and Vermont enrollments
  • 522 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711
Grow Healthcare Group PC
2,684 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385

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 02148 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

JULIE A FOSS
Counselor (Mental Health)
75 PLEASANT ST
MALDEN, MA 02148
Middlesex County (857) 417-4789

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 Kemealo Moussatcha's NPI number?

The NPI number for Kemealo Moussatcha is 1245833805. It was assigned to this individual provider in the NPPES registry on November 17, 2020.

Where is Kemealo Moussatcha located?

Kemealo Moussatcha practices at 75 Pleasant St, Malden, MA 02148. The listed phone number is (617) 756-8310.

What is Kemealo Moussatcha's specialty?

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

Is Kemealo Moussatcha enrolled in Medicare?

Yes. Kemealo Moussatcha is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kemealo Moussatcha's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kemealo Moussatcha reassigns Medicare benefits to 4 organizations: Atrius Health, Inc. (Medford, MA), Olaemek Health And Wellness Services LLC (Boston, MA), Grow Healthcare Group PA (Miami, FL) and Grow Healthcare Group PC (San Jose, CA). 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 Kemealo Moussatcha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kemealo Moussatcha accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Kemealo Moussatcha 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 Kemealo Moussatcha was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.