RAHIMETOU MBOUOMBOUO NP
NPI 1265226310
Nurse Practitioner - Psychiatric/Mental Health in Tewksbury, MA

Q: 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.

Q: 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.

Active since April 05, 2025PECOS EnrolledAccepts Medicare Assignment

365 EAST ST, TEWKSBURY, MA 01876(978) 851-7321 Get Directions Write a Review

NPPES record last updated: April 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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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

NPI1265226310

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameRAHIMETOU MBOUOMBOUOCredential: NP

Location Address365 EAST STTewksbury, MA 01876-1950

Mailing Address210 Amesbury StDracut, MA 01826-5648 · (978) 349-8478

Phone(978) 851-7321

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateApril 5, 2025

NPPES CertifiedApril 5, 2025

✔ NPI 1265226310 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 · RN2299168

365 EAST ST, Tewksbury, MA 01876

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID7719404029

PECOS Enrollment IDI20250509002144

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 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.

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.

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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.

MS. FELICE DE RUGGIERO LICSW, LADC-1

Social Worker (Clinical)