MOANA WELLNESS PRACTICE
NPI 1689540254
Nurse Practitioner - Family in Folcroft, PA
About Moana Wellness Practice NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MOANA WELLNESS PRACTICE (NPI 1689540254) is a healthcare organization registered as a family in Folcroft, Pennsylvania and active in the NPI registry since October 2025. The organization lists Elizabeth Bangura, Fnp, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Moana Wellness Practice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Moana Wellness Practice, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Moana Wellness Practice's NPI number?
The NPI number for Moana Wellness Practice is 1689540254. It was assigned to this organization in the NPPES registry on October 13, 2025.
Where is Moana Wellness Practice located?
Moana Wellness Practice is located at 2019 Ravenwood Rd, Folcroft, PA 19032. The listed phone number is (123) 456-7890.
What is Moana Wellness Practice's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Moana Wellness Practice enrolled in Medicare?
Yes. Moana Wellness Practice is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Moana Wellness Practice?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Moana Wellness Practice. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Moana Wellness Practice was last updated on October 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Moana Wellness Practice · NPI 1689540254
Family organization in Folcroft, Pennsylvania. Organization record, active in the CMS NPPES registry since October 13, 2025.
## Identity
- **NPI:** 1689540254 (Entity type: Organization)
- **Enumerated:** October 13, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Elizabeth Bangura, FNP
## Practice location
- **Address:** 2019 RAVENWOOD RD, Folcroft, PA 19032-1508
- **Phone:** (123) 456-7890
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 23, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1689540254) · Data from the CMS NPPES public registry.