RAHIMETOU MBOUOMBOUO NP
NPI 1265226310
Nurse Practitioner - Psychiatric/Mental Health in Tewksbury, MA
About Rahimetou Mbouombouo Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RAHIMETOU MBOUOMBOUO NP (NPI 1265226310) is an individual psychiatric/mental health provider in Tewksbury, Massachusetts, licensed in Massachusetts (RN2299168) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
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
Rahimetou Mbouombouo Np 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.
Medicare Billing Reassignment
Medicare enrollment records show Rahimetou Mbouombouo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tewksbury, MA 01876
- Reassigned Medicare billing, Massachusetts enrollment
- 97 clinicians in this Medicare group
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 01876 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
TEWKSBURY, MA 01876
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 Rahimetou Mbouombouo's NPI number?
The NPI number for Rahimetou Mbouombouo is 1265226310. It was assigned to this individual provider in the NPPES registry on April 5, 2025.
Where is Rahimetou Mbouombouo located?
Rahimetou Mbouombouo practices at 365 East St, Tewksbury, MA 01876. The listed phone number is (978) 851-7321.
What is Rahimetou Mbouombouo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Rahimetou Mbouombouo enrolled in Medicare?
Yes. Rahimetou Mbouombouo 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 Rahimetou Mbouombouo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rahimetou Mbouombouo reassigns Medicare benefits to The Commonwealth Of Massachusetts (Tewksbury, MA). 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 Rahimetou Mbouombouo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Rahimetou Mbouombouo was last updated on April 5, 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.
# Rahimetou Mbouombouo, NP · NPI 1265226310
Psychiatric/Mental Health physician in Tewksbury, Massachusetts. Individual provider, active in the CMS NPPES registry since April 5, 2025.
## Identity
- **NPI:** 1265226310 (Entity type: Individual)
- **Enumerated:** April 5, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** RN2299168 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 365 EAST ST, Tewksbury, MA 01876-1950
- **Phone:** (978) 851-7321
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** The Commonwealth Of Massachusetts (NPI 1871680496, Tewksbury, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** April 5, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1265226310) · Data from the CMS NPPES public registry.