MONIKA KUWAHARA MSN, RN, PMHNP-BC
NPI 1578822003
Nurse Practitioner - Psychiatric/Mental Health in Rochester, NY

Active since May 03, 2012PECOS EnrolledAccepts Medicare Assignment
76.84/100
CMS Quality Rating
2613 WEST HENRIETTA RD., ROCHESTER, NY 14623(585) 276-0550 Get Directions Write a Review

NPPES record last updated: July 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 7, 2023, Aug 23, 2021 (2 updates tracked since 2021).

About Monika Kuwahara Msn, Rn, Pmhnp-bc NPPES

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

MONIKA KUWAHARA MSN, RN, PMHNP-BC (NPI 1578822003) is an individual psychiatric/mental health provider in Rochester, New York, licensed in New York (F401273) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1578822003
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMONIKA KUWAHARACredential: MSN, RN, PMHNP-BC
Location Address2613 WEST HENRIETTA RD.Rochester, NY 14623-2327
Mailing Address2613 West Henrietta Rd.Rochester, NY 14623-2327
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateMay 3, 2012
Last NPPES UpdateJuly 7, 20232 updates tracked since enumeration
NPPES CertifiedAugust 23, 2021
NPI 1578822003 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 NY · F401273
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 401273 (NY)
2613 WEST HENRIETTA RD., Rochester, NY 14623

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Monika Kuwahara Msn, Rn, Pmhnp-bc 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 ID7315102233
PECOS Enrollment IDI20120627000424
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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
73 services25 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
16 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14623 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

76.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.2
Promoting Interoperability100
Improvement Activities40
Cost42.68

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 Monika Kuwahara's NPI number?

The NPI number for Monika Kuwahara is 1578822003. It was assigned to this individual provider in the NPPES registry on May 3, 2012.

Where is Monika Kuwahara located?

Monika Kuwahara practices at 2613 West Henrietta Rd., Rochester, NY 14623. The listed phone number is (585) 276-0550.

What is Monika Kuwahara's specialty?

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

Is Monika Kuwahara enrolled in Medicare?

Yes. Monika Kuwahara 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.

When was this NPI record last updated?

The NPPES record for Monika Kuwahara was last updated on July 7, 2023. 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.