MS. SHADIATU O MOUSTAPHA FNP
NPI 1629401443
Nurse Practitioner - Family in Bronx, NY
About Ms. Shadiatu O Moustapha Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. SHADIATU O MOUSTAPHA FNP (NPI 1629401443) is an individual family provider in Bronx, New York, licensed in New York (338271) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS, is affiliated with Wynn Hospital, and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
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
Ms. Shadiatu O Moustapha Fnp 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.
Medicare Billing Reassignments
2Medicare enrollment records show Shadiatu Moustapha reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Uniondale, NY 11553
- Reassigned Medicare billing, New York enrollment
- 16 clinicians in this Medicare group
Naperville, IL 60563
- Reassigned Medicare billing, Connecticut and New York enrollments
- 100 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Wynn Hospital
Acute Care Hospitals · Utica, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10453 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Shadiatu Moustapha's NPI number?
The NPI number for Shadiatu Moustapha is 1629401443. It was assigned to this individual provider in the NPPES registry on August 15, 2013. The provider is also known as Mrs. Shadiatu O Moustapha Fnp.
Where is Shadiatu Moustapha located?
Shadiatu Moustapha practices at 2015 Grand Concourse Ste B, Bronx, NY 10453. The listed phone number is (718) 299-7295.
What is Shadiatu Moustapha's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Shadiatu Moustapha enrolled in Medicare?
Yes. Shadiatu Moustapha 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 Shadiatu Moustapha's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shadiatu Moustapha reassigns Medicare benefits to 2 organizations: Wb Homecare Adullt & Family Health Np PLLC (Uniondale, NY) and Post Acute Specialists, LLC (Naperville, IL). 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 Shadiatu Moustapha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Shadiatu Moustapha affiliated with any hospitals?
According to CMS data, Shadiatu Moustapha is affiliated with Wynn Hospital.
When was this NPI record last updated?
The NPPES record for Shadiatu Moustapha was last updated on January 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Ms. Shadiatu O Moustapha, FNP · NPI 1629401443
Family physician in Bronx, New York. Individual provider, active in the CMS NPPES registry since August 15, 2013.
## Identity
- **NPI:** 1629401443 (Entity type: Individual)
- **Enumerated:** August 15, 2013
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 338271 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 2015 GRAND CONCOURSE STE B, Bronx, NY 10453-4303
- **Phone:** (718) 299-7295 · **Fax:** (718) 299-6797
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Wb Homecare Adullt & Family Health Np PLLC (NPI 1073063087, Uniondale, NY); Post Acute Specialists, LLC (NPI 1114441565, Naperville, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** January 13, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1629401443) · Data from the CMS NPPES public registry.