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

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

Q: 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.

Q: 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.

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: August 30, 2026.

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

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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

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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, and ordering and referring status from the CMS PECOS system.

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.

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.

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.

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 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.