JENNINGS UBADI MEKOBA
NPI 1619712585
Nurse Practitioner - Psychiatric/Mental Health in Ewing, NJ

Active since July 01, 2024PECOS Enrolled

NPPES record last updated: July 1, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jennings Ubadi Mekoba NPPES

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

JENNINGS UBADI MEKOBA (NPI 1619712585) is an individual psychiatric/mental health provider in Ewing, New Jersey, licensed in New Jersey (26NJ01218000) and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1619712585
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameJENNINGS UBADI MEKOBA
Location Address228 BETTY LNEwing, NJ 08628-1632
Mailing Address228 Betty LnEwing, NJ 08628-1632 · (862) 205-7165
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 1, 2024
NPPES CertifiedJuly 1, 2024
✔ NPI 1619712585 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 NJ · 26NJ01218000
228 BETTY LN, Ewing, NJ 08628

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennings Ubadi Mekoba is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981195336
PECOS Enrollment IDI20251113004374
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 Jennings Mekoba reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychologist
2333 MORRIS AVE STE A105
Union, NJ 07083
  • Reassigned Medicare billing, New Jersey enrollment
  • 3 clinicians in this Medicare group

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 08628 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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 Jennings Mekoba's NPI number?

The NPI number for Jennings Mekoba is 1619712585. It was assigned to this individual provider in the NPPES registry on July 1, 2024.

Where is Jennings Mekoba located?

Jennings Mekoba practices at 228 Betty Ln, Ewing, NJ 08628. The listed phone number is (862) 205-7165.

What is Jennings Mekoba's specialty?

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

Is Jennings Mekoba enrolled in Medicare?

Yes. Jennings Mekoba is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jennings Mekoba's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennings Mekoba reassigns Medicare benefits to Building Blocks Of Hope, LLC (Union, NJ). 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 Jennings Mekoba's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennings Mekoba accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Jennings Mekoba 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 Jennings Mekoba was last updated on July 1, 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.