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MS. SHADIATU O MOUSTAPHA FNP
NPI 1629401443
Nurse Practitioner - Family in Bronx, NY

Active since August 15, 2013PECOS EnrolledAccepts Medicare Assignment
2015 GRAND CONCOURSE STE B, BRONX, NY 10453(718) 299-7295(718) 299-6797 Get Directions Write a Review

NPPES record last updated: January 13, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 13, 2016, Dec 2, 2015 (2 updates tracked since 2015).

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 and is a graduate of Other (2012).

NPPES Registry Identity

NPI1629401443
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. SHADIATU O MOUSTAPHACredential: FNP
Location Address2015 GRAND CONCOURSE STE BBronx, NY 10453-4303
Mailing Address3198 Grand ConcourseBronx, NY 10458-1000 · (718) 618-0401 · Fax (718) 795-4394
Phone(718) 299-7295
Fax(718) 299-6797
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateAugust 15, 2013
Last NPPES UpdateJanuary 13, 20162 updates tracked since enumeration
✔ NPI 1629401443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 338271
Also ListedRegistered NurseTaxonomy 163W00000X · License 621087 (NY)
2015 GRAND CONCOURSE STE B, Bronx, NY 10453
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Other Names 1

Other Name (5)Mrs. Shadiatu O Moustapha Fnp

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

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.

PECOS PAC ID1153624697
PECOS Enrollment IDI20160118000168, I20250407000780
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.

Physician 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.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 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.

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.