1. Home
  2. Directory
  3. New Jersey
  4. Somerset
  5. Nurse Practitioner
  6. NPI Profile

KHADIJA FOFANA
NPI 1407413297
Nurse Practitioner - Psychiatric/Mental Health in Somerset, NJ

Active since May 28, 2019PECOS EnrolledAccepts Medicare Assignment
93.71/100
CMS Quality Rating
122 GIRARD AVE, SOMERSET, NJ 08873(717) 341-8790 Get Directions Write a Review

NPPES record last updated: November 7, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 7, 2022, Oct 10, 2022, May 28, 2019 (3 updates tracked since 2019).

About Khadija Fofana NPPES

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

KHADIJA FOFANA (NPI 1407413297) is an individual psychiatric/mental health provider in Somerset, New Jersey, licensed in New Jersey (26NJ01045000) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, is affiliated with Community Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1407413297
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKHADIJA FOFANA
Location Address122 GIRARD AVESomerset, NJ 08873-2417
Mailing Address81 Crooked Stick RdJackson, NJ 08527-4032 · (609) 916-6428
Phone(717) 341-8790
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMay 28, 2019
Last NPPES UpdateNovember 7, 20223 updates tracked since enumeration
NPPES CertifiedNovember 7, 2022
✔ NPI 1407413297 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 NJ · 26NJ01045000
Also ListedPsychologist · Intellectual and Developmental DisabilitiesTaxonomy 103TM1800X
122 GIRARD AVE, Somerset, NJ 08873
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.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

Khadija Fofana 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 ID6204254113
PECOS Enrollment IDI20200909002000
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

3

Medicare enrollment records show Khadija Fofana reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Barnabas Health Medical Group, PC
20 mi
Specialist
95 OLD SHORT HILLS RD
West Orange, NJ 07052
  • Reassigned Medicare billing, New Jersey enrollment
  • 757 clinicians in this Medicare group
NPI 1447206420 (888) 724-7123
Blissful Intentions LLC
37 mi
Psychiatric/Mental Health
1691 U.S. 9
Toms River, NJ 08753
  • Reassigned Medicare billing, New Jersey enrollment
NPI 1144079765 (717) 341-8790
Minuteclinic Diagnostic Of New Jersey LLC
60 mi
Family
307 EGG HARBOR RD
Sewell, NJ 08080
  • Reassigned Medicare billing, New Jersey enrollment
  • 243 clinicians in this Medicare group
NPI 1053353615 (866) 389-2727

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
216 services69 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
38 services30 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
31 services29 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Community Medical Center

Acute Care Hospitals · Toms River, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310041
Location99 Rt 37 WestToms River, NJ 08755 · Ocean County
Emergency services Birthing friendly

Monmouth Medical Center-Southern Campus

Acute Care Hospitals · Lakewood, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310084
Location600 River AveLakewood, NJ 08701 · Ocean County
Emergency services

Jfk Medical Center

Acute Care Hospitals · Edison, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310108
Location65 James StreetEdison, NJ 08820 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08873 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.79
Promoting Interoperability100
Improvement Activities40

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 Khadija Fofana's NPI number?

The NPI number for Khadija Fofana is 1407413297. It was assigned to this individual provider in the NPPES registry on May 28, 2019.

Where is Khadija Fofana located?

Khadija Fofana practices at 122 Girard Ave, Somerset, NJ 08873. The listed phone number is (717) 341-8790.

What is Khadija Fofana's specialty?

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

Is Khadija Fofana enrolled in Medicare?

Yes. Khadija Fofana 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 Khadija Fofana's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Khadija Fofana reassigns Medicare benefits to 3 organizations: Barnabas Health Medical Group, PC (West Orange, NJ), Blissful Intentions LLC (Toms River, NJ) and Minuteclinic Diagnostic Of New Jersey LLC (Sewell, NJ). 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 Khadija Fofana's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Khadija Fofana accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Khadija Fofana 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.

Is Khadija Fofana affiliated with any hospitals?

According to CMS data, Khadija Fofana is affiliated with Community Medical Center, Monmouth Medical Center-Southern Campus and Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Khadija Fofana was last updated on November 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.