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GABRIELLE KOUSSA PMHNP-BC
NPI 1629943048
Nurse Practitioner - Psychiatric/Mental Health in North Kingstown, RI

Active since October 07, 2025PECOS EnrolledAccepts Medicare Assignment
1130 TEN ROD RD STE D101, NORTH KINGSTOWN, RI 02852(401) 267-4485(401) 267-4534 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Gabrielle Koussa Pmhnp-bc NPPES

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

GABRIELLE KOUSSA PMHNP-BC (NPI 1629943048) is an individual psychiatric/mental health provider in North Kingstown, Rhode Island, licensed in Rhode Island (CAPRN04815) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1629943048
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameGABRIELLE KOUSSACredential: PMHNP-BC
Location Address1130 TEN ROD RD STE D101North Kingstown, RI 02852-4161
Mailing Address1130 Ten Rod Rd Ste D101North Kingstown, RI 02852-4161 · (401) 267-4485 · Fax (401) 267-4534
Phone(401) 267-4485
Fax(401) 267-4534
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 7, 2025
NPPES CertifiedOctober 7, 2025
✔ NPI 1629943048 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 RI · CAPRN04815
1130 TEN ROD RD STE D101, North Kingstown, RI 02852
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.Insurance ›

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

Gabrielle Koussa 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 ID4183117039
PECOS Enrollment IDI20251201000940
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 Gabrielle Koussa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Baxter Behavioral Health LLC
Same address
Psychiatric/Mental Health
1130 TEN ROD RD STE D101
North Kingstown, RI 02852
  • Reassigned Medicare billing, Rhode Island enrollment
  • 5 clinicians in this Medicare group
NPI 1972975845 (401) 267-4485

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 02852 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MONIQUE E TARULLI PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1130 TEN ROD RD STE D101
NORTH KINGSTOWN, RI 02852
Washington County (401) 267-4485
BAXTER BEHAVIORAL HEALTH LLC
Nurse Practitioner (Psychiatric/Mental Health)
1130 TEN ROD RD STE D101
NORTH KINGSTOWN, RI 02852
Washington County (401) 267-4485

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 Gabrielle Koussa's NPI number?

The NPI number for Gabrielle Koussa is 1629943048. It was assigned to this individual provider in the NPPES registry on October 7, 2025.

Where is Gabrielle Koussa located?

Gabrielle Koussa practices at 1130 Ten Rod Rd Ste D101, North Kingstown, RI 02852. The listed phone number is (401) 267-4485.

What is Gabrielle Koussa's specialty?

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

Is Gabrielle Koussa enrolled in Medicare?

Yes. Gabrielle Koussa 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 Gabrielle Koussa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gabrielle Koussa reassigns Medicare benefits to Baxter Behavioral Health LLC (North Kingstown, RI). 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 Gabrielle Koussa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gabrielle Koussa accept?

Health plans from Harvard Pilgrim Health Care list Gabrielle Koussa 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 Gabrielle Koussa was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.