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NKEMNGONG ROSELINE NDIACHI APRN
NPI 1366290504
Nurse Practitioner - Gerontology in Temple Terrace, FL

Active since May 13, 2024PECOS EnrolledAccepts Medicare Assignment
11125 N 52ND ST, TEMPLE TERRACE, FL 33617(813) 453-3881 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 20, 2024, May 13, 2024 (2 updates tracked since 2024).

About Nkemngong Roseline Ndiachi Aprn NPPES

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

NKEMNGONG ROSELINE NDIACHI APRN (NPI 1366290504) is an individual gerontology provider in Temple Terrace, Florida, licensed in Florida (11032442) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Saint Petersburg, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1366290504
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameNKEMNGONG ROSELINE NDIACHICredential: APRN
Location Address11125 N 52ND STTemple Terrace, FL 33617-2842
Mailing Address11125 N 52nd StTemple Terrace, FL 33617-2842 · (813) 453-3881
Phone(813) 453-3881
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 13, 2024
Last NPPES UpdateNovember 20, 20242 updates tracked since enumeration
NPPES CertifiedNovember 20, 2024
✔ NPI 1366290504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in FL · 11032442
Also ListedAnesthesiology · Hospice and Palliative MedicineTaxonomy 207LH0002X · License 11032442 (FL)
11125 N 52ND ST, Temple Terrace, FL 33617
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Secondary Practice Location 1

Location 110300 4th St NSaint Petersburg, FL 33716-3810 · Phone (386) 562-4899

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

Nkemngong Roseline Ndiachi Aprn 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 ID244765451
PECOS Enrollment IDI20241125004020
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 Reassignment

Medicare enrollment records show Nkemngong Ndiachi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ultra Health Providers Of Florida
615 mi
Nurse Practitioner
217 6TH AVE N STE 43952
Nashville, TN 37219
  • Reassigned Medicare billing, Florida enrollment
  • 5 clinicians in this Medicare group
NPI 1528549490 (731) 394-1145

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 33617 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 Nkemngong Ndiachi's NPI number?

The NPI number for Nkemngong Ndiachi is 1366290504. It was assigned to this individual provider in the NPPES registry on May 13, 2024.

Where is Nkemngong Ndiachi located?

Nkemngong Ndiachi practices at 11125 N 52nd St, Temple Terrace, FL 33617. The listed phone number is (813) 453-3881.

What is Nkemngong Ndiachi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Nkemngong Ndiachi enrolled in Medicare?

Yes. Nkemngong Ndiachi 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 Nkemngong Ndiachi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nkemngong Ndiachi reassigns Medicare benefits to Ultra Health Providers Of Florida (Nashville, TN). 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 Nkemngong Ndiachi'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 Nkemngong Ndiachi was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.