1. Home
  2. Directory
  3. Arkansas
  4. Little Rock
  5. Nurse Practitioner
  6. NPI Profile

BRIAN RATEMO NYANGOSO
NPI 1609703222
Nurse Practitioner - Psychiatric/Mental Health in Little Rock, AR

Active since May 07, 2026PECOS EnrolledAccepts Medicare Assignment
1912 GREEN MOUNTAIN DR APT V521, LITTLE ROCK, AR 72212(682) 241-5121 Get Directions Write a Review

NPPES record last updated: May 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 21, 2026, May 7, 2026 (2 updates tracked since 2026).

About Brian Ratemo Nyangoso NPPES

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

BRIAN RATEMO NYANGOSO (NPI 1609703222) is an individual psychiatric/mental health provider in Little Rock, Arkansas, licensed in Arkansas (224773) and active in the NPI registry since May 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1609703222
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameBRIAN RATEMO NYANGOSO
Location Address1912 GREEN MOUNTAIN DR APT V521Little Rock, AR 72212-4066
Mailing Address1912 Green Mountain Dr Apt V521Little Rock, AR 72212-4066
Phone(682) 241-5121
Sole ProprietorYes
Medical School CMSOtherGraduated 2026
Enumeration DateMay 7, 2026
Last NPPES UpdateMay 21, 20262 updates tracked since enumeration
NPPES CertifiedMay 21, 2026
✔ NPI 1609703222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in AR · 224773
1912 GREEN MOUNTAIN DR APT V521, Little Rock, AR 72212
Open in Google Maps ↗

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

Brian Ratemo Nyangoso 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 ID6305318502
PECOS Enrollment IDI20260618002854
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 Brian Nyangoso reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Renew Mental Health And Wellness LLC
121 mi
Psychiatric/Mental Health
1150 E MATTHEWS AVE STE 101A
Jonesboro, AR 72401
  • Reassigned Medicare billing, Arkansas enrollment
  • 37 clinicians in this Medicare group
NPI 1447817572 (870) 243-0424

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 72212 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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 Brian Nyangoso's NPI number?

The NPI number for Brian Nyangoso is 1609703222. It was assigned to this individual provider in the NPPES registry on May 7, 2026.

Where is Brian Nyangoso located?

Brian Nyangoso practices at 1912 Green Mountain Dr Apt V521, Little Rock, AR 72212. The listed phone number is (682) 241-5121.

What is Brian Nyangoso's specialty?

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

Is Brian Nyangoso enrolled in Medicare?

Yes. Brian Nyangoso 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 Brian Nyangoso's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Nyangoso reassigns Medicare benefits to Renew Mental Health And Wellness LLC (Jonesboro, AR). 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 Brian Nyangoso'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 Brian Nyangoso was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.