FATMATA FOFANAH PMHNP
NPI 1780546705
Nurse Practitioner in Raleigh, NC
About Fatmata Fofanah Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FATMATA FOFANAH PMHNP (NPI 1780546705) is an individual nurse practitioner in Raleigh, North Carolina, licensed in North Carolina (2025047788) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Fatmata Fofanah Pmhnp 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 Reassignment
Medicare enrollment records show Fatmata Fofanah reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Cary, NC 27518
- Reassigned Medicare billing, North Carolina enrollment
- 23 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 27609 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 Fatmata Fofanah's NPI number?
The NPI number for Fatmata Fofanah is 1780546705. It was assigned to this individual provider in the NPPES registry on November 28, 2025.
Where is Fatmata Fofanah located?
Fatmata Fofanah practices at 4320 Bland Rd Ste 104, Raleigh, NC 27609. The listed phone number is (301) 613-5042.
What is Fatmata Fofanah's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Fatmata Fofanah enrolled in Medicare?
Yes. Fatmata Fofanah 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 Fatmata Fofanah's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Fatmata Fofanah reassigns Medicare benefits to MD Psychiatry And Emotional Health (Cary, NC). 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 Fatmata Fofanah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Fatmata Fofanah accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 1 other insurer list Fatmata Fofanah 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 Fatmata Fofanah was last updated on November 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Fatmata Fofanah, PMHNP · NPI 1780546705
Nurse Practitioner physician in Raleigh, North Carolina. Individual provider, active in the CMS NPPES registry since November 28, 2025.
## Identity
- **NPI:** 1780546705 (Entity type: Individual)
- **Enumerated:** November 28, 2025
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 2025047788 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 4320 BLAND RD STE 104, Raleigh, NC 27609-6125
- **Phone:** (301) 613-5042
## 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:** MD Psychiatry And Emotional Health (NPI 1548875883, Cary, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** November 28, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1780546705) · Data from the CMS NPPES public registry.