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KHADIJAH JALLOH FNP
NPI 1558123760
Nurse Practitioner - Family in Lewis Center, OH

Active since January 24, 2024PECOS Enrolled
8850 GARRETT ST, LEWIS CENTER, OH 43035(240) 643-0843 Get Directions Write a Review

NPPES record last updated: January 24, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Khadijah Jalloh Fnp NPPES

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

KHADIJAH JALLOH FNP (NPI 1558123760) is an individual family provider in Lewis Center, Ohio, licensed in Ohio (2022007293) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558123760
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKHADIJAH JALLOHCredential: FNP
Location Address8850 GARRETT STLewis Center, OH 43035-8474
Mailing Address8850 Garrett StLewis Center, OH 43035-8474 · (240) 643-0843
Phone(240) 643-0843
Sole ProprietorYes
Enumeration DateJanuary 24, 2024
NPPES CertifiedJanuary 24, 2024
✔ NPI 1558123760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · 2022007293
8850 GARRETT ST, Lewis Center, OH 43035
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Khadijah Jalloh Fnp 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

2

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

Community Care Health Network LLC
343 mi
Nurse Practitioner
424 CHURCH ST STE 220
Nashville, TN 37219
  • Reassigned Medicare billing, Ohio enrollment
  • 271 clinicians in this Medicare group
NPI 1619368842 (877) 564-3627
Signify Health, LLC
915 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Ohio enrollment
  • 672 clinicians in this Medicare group
NPI 1689158487 (469) 466-7007

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 43035 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 Khadijah Jalloh's NPI number?

The NPI number for Khadijah Jalloh is 1558123760. It was assigned to this individual provider in the NPPES registry on January 24, 2024.

Where is Khadijah Jalloh located?

Khadijah Jalloh practices at 8850 Garrett St, Lewis Center, OH 43035. The listed phone number is (240) 643-0843.

What is Khadijah Jalloh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Khadijah Jalloh enrolled in Medicare?

Yes. Khadijah Jalloh is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Khadijah Jalloh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Khadijah Jalloh reassigns Medicare benefits to 2 organizations: Community Care Health Network LLC (Nashville, TN) 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 Khadijah Jalloh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Khadijah Jalloh accept?

Health plans from CareSource and CareSource (Common Ground Healthcare) list Khadijah Jalloh 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 Khadijah Jalloh was last updated on January 24, 2024. 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.