MOMAR MBOUP
NPI 1831066455
Nurse Practitioner - Psychiatric/Mental Health in Baltimore, MD
About Momar Mboup NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MOMAR MBOUP (NPI 1831066455) is an individual psychiatric/mental health provider in Baltimore, Maryland, licensed in Maryland (R189772) and active in the NPI registry since October 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
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
Momar Mboup 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 Momar Mboup reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Baltimore, MD 21201
- Reassigned Medicare billing, Maryland enrollment
- 3 clinicians in this Medicare group
Baltimore, MD 21209
- Reassigned Medicare billing, Maryland enrollment
- 3 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 21224 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BALTIMORE, MD 21224
BALTIMORE, MD 21224
BALTIMORE, MD 21224
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 Momar Mboup's NPI number?
The NPI number for Momar Mboup is 1831066455. It was assigned to this individual provider in the NPPES registry on October 20, 2025.
Where is Momar Mboup located?
Momar Mboup practices at 1101 N Point Blvd Ste 131, Baltimore, MD 21224. The listed phone number is (410) 508-0722.
What is Momar Mboup's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Momar Mboup enrolled in Medicare?
Yes. Momar Mboup 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 Momar Mboup's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Momar Mboup reassigns Medicare benefits to 2 organizations: Healing Hope Community, Inc. (Baltimore, MD) and Primehealth Behavioral Healthcare Services LLC (Baltimore, MD). 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 Momar Mboup's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Momar Mboup was last updated on November 5, 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.
# Momar Mboup · NPI 1831066455
Psychiatric/Mental Health physician in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since October 20, 2025.
## Identity
- **NPI:** 1831066455 (Entity type: Individual)
- **Enumerated:** October 20, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** R189772 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1101 N POINT BLVD STE 131, Baltimore, MD 21224-3417
- **Phone:** (410) 508-0722
## 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): Healing Hope Community, Inc. (NPI 1730864844, Baltimore, MD); Primehealth Behavioral Healthcare Services LLC (NPI 1518535368, Baltimore, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** November 5, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1831066455) · Data from the CMS NPPES public registry.