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

MS. MAHOUSSI NICOLE AHOLOUKPE M.D.
NPI 1336671064
Pediatrics in Lebanon, PA

Q: What is Mahoussi Aholoukpe's NPI number?

The NPI number for Mahoussi Aholoukpe is 1336671064. It was assigned to this individual provider in the NPPES registry on March 31, 2017.

Q: What is Mahoussi Aholoukpe's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since March 31, 2017PECOS Enrolled

30 N 4TH ST FL 2, LEBANON, PA 17046(717) 279-6700(717) 279-6759 Get Directions Write a Review

NPPES record last updated: September 3, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 3, 2026, Mar 25, 2025, Aug 21, 2020 and 1 more (4 updates tracked since 2017).

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About Ms. Mahoussi Nicole Aholoukpe M.d. NPPES

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

MS. MAHOUSSI NICOLE AHOLOUKPE M.D. (NPI 1336671064) is an individual pediatrics provider in Lebanon, Pennsylvania, licensed in Pennsylvania (MD470252) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1336671064

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameMS. MAHOUSSI NICOLE AHOLOUKPECredential: M.D.

Location Address30 N 4TH ST FL 2Lebanon, PA 17046-5606

Mailing Address601 Memory LnYork, PA 17402-2231 · (717) 851-1405 · Fax (717) 851-6969

Phone(717) 279-6700

Fax(717) 279-6759

Sole ProprietorNo

Enumeration DateMarch 31, 2017

Last NPPES UpdateSeptember 3, 20264 updates tracked since enumeration

NPPES CertifiedSeptember 3, 2026

✔ NPI 1336671064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in PA · MD470252

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

30 N 4TH ST FL 2, Lebanon, PA 17046

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Secondary Practice Locations 4

Location 1101 Fairview CirLebanon, PA 17042-9581 · Phone (717) 279-7303 · Fax (717) 279-7471

Location 2500 University Drive, Penn State Health Milton S. Hershey Medical CenterHershey, PA 17033 · Phone (800) 243-1455

Location 31001 S George StYork, PA 17403-3676 · Phone (717) 851-3884 · Fax (717) 851-3382

Location 4720 Norman DrLebanon, PA 17042-7481 · Phone (717) 279-6700 · Fax (717) 274-1659

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next.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. Mahoussi Nicole Aholoukpe M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

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

Wellspan Medical Group

Same address

Family Medicine

30 N 4TH ST # 2
Lebanon, PA 17046

Reassigned Medicare billing, Pennsylvania enrollment
3,080 clinicians in this Medicare group

NPI 1356892889 (717) 274-0474

Children's Health Care Associates

70 mi

Pediatrics

34TH & CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
Philadelphia, PA 19104

Reassigned Medicare billing, Pennsylvania enrollment
Medicare enrollment name: Childrens Health Care Associates Inc
1,225 clinicians in this Medicare group

NPI 1619062668 (215) 590-1000

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 17046 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HOBART HEATH

Family Medicine