DR. MORIAM BOLARE NA-ALLAH
NPI 1285283176
Nurse Practitioner - Psychiatric/Mental Health in Edmond, OK

Active since September 04, 2019PECOS EnrolledAccepts Medicare Assignment
2712 GREENFIELD DR, EDMOND, OK 73012(405) 923-0952 Get Directions Write a Review

NPPES record last updated: December 9, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 9, 2023, Sep 4, 2019 (2 updates tracked since 2019).

About Dr. Moriam Bolare Na-allah NPPES

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

DR. MORIAM BOLARE NA-ALLAH (NPI 1285283176) is an individual psychiatric/mental health provider in Edmond, Oklahoma, licensed in Oklahoma (111165) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1285283176
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDR. MORIAM BOLARE NA-ALLAH
Location Address2712 GREENFIELD DREdmond, OK 73012-6531
Mailing Address2712 Greenfield DrEdmond, OK 73012-6531 · (405) 923-0952
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 4, 2019
Last NPPES UpdateDecember 9, 20232 updates tracked since enumeration
NPPES CertifiedDecember 9, 2023
✔ NPI 1285283176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in OK · 111165
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 111165 (OK)
2712 GREENFIELD DR, Edmond, OK 73012

Other Identifiers 1

Other111165OK · Oklahoma Board Of Nursing

Accepted Insurance

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

Dr. Moriam Bolare Na-allah 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 ID4486045408
PECOS Enrollment IDI20211230002085
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

2

Medicare enrollment records show Moriam Na-allah reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health (Including Community Mental Health Center)
2625 GENERAL PERSHING
Oklahoma City, OK 73107
  • Reassigned Medicare billing, Oklahoma enrollment
  • Medicare enrollment name: State Of Oklahoma
  • 170 clinicians in this Medicare group
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Oklahoma enrollment
  • 238 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 73012 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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 Moriam Na-allah's NPI number?

The NPI number for Moriam Na-allah is 1285283176. It was assigned to this individual provider in the NPPES registry on September 4, 2019.

Where is Moriam Na-allah located?

Moriam Na-allah practices at 2712 Greenfield Dr, Edmond, OK 73012. The listed phone number is (405) 923-0952.

What is Moriam Na-allah's specialty?

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

Is Moriam Na-allah enrolled in Medicare?

Yes. Moriam Na-allah 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 organizations bill Medicare for Moriam Na-allah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Moriam Na-allah reassigns Medicare benefits to 2 organizations: Oklahoma County Crisis Intervention Center (Oklahoma City, OK) and Signify Health, LLC (Dallas, TX). 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 Moriam Na-allah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Moriam Na-allah accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Moriam Na-allah 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 Moriam Na-allah was last updated on December 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.