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KHADIJAT MOMOH
NPI 1841061819
Nurse Practitioner in Providence, RI

Active since January 09, 2024PECOS EnrolledAccepts Medicare Assignment
6 BARONE CT, PROVIDENCE, RI 02904(512) 363-0793 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Khadijat Momoh NPPES

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

KHADIJAT MOMOH (NPI 1841061819) is an individual nurse practitioner in Providence, Rhode Island, licensed in Rhode Island (APRN03370) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Framingham, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1841061819
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKHADIJAT MOMOH
Location Address6 BARONE CTProvidence, RI 02904-1286
Mailing Address6 Barone CtProvidence, RI 02904-1286
Phone(512) 363-0793
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 9, 2024
Last NPPES UpdateMarch 16, 2026
NPPES CertifiedMarch 16, 2026
✔ NPI 1841061819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in RI · APRN03370
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
6 BARONE CT, Providence, RI 02904
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Secondary Practice Location 1

Location 1100 Crossing Blvd Ste 300Framingham, MA 01702-5555 · Phone (888) 964-6681

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

Khadijat Momoh 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 ID4587005301
PECOS Enrollment IDI20240510002259
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 Reassignments

4

Medicare enrollment records show Khadijat Momoh reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medicine And Long Term Care Associates, LLC
3.1 mi
Internal Medicine
333 BUDLONG RD
Cranston, RI 02920
  • Reassigned Medicare billing, Rhode Island enrollment
  • 22 clinicians in this Medicare group
NPI 1073539227 (401) 943-4530
Value Based Long Term Care H PC
34 mi
Geriatric Medicine
100 CROSSING BLVD STE 300
Framingham, MA 01702
  • Reassigned Medicare billing, Rhode Island enrollment
  • 52 clinicians in this Medicare group
NPI 1134951676 (888) 964-6681
Hdc Care Solutions, LLC
34 mi
Nurse Practitioner
100 CROSSING BLVD
Framingham, MA 01702
  • Reassigned Medicare billing, Rhode Island enrollment
  • 53 clinicians in this Medicare group
NPI 1033861349 (888) 964-6681
Healthdrive Medical Services Southeast LLC
333 mi
Nurse Practitioner
6700 ALEXANDER BELL DR STE 200
Columbia, MD 21046
  • Reassigned Medicare billing, Rhode Island enrollment
  • 52 clinicians in this Medicare group
NPI 1437930146 (888) 964-6681

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
260 services66 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
61 services38 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
24 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02904 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.

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 Khadijat Momoh's NPI number?

The NPI number for Khadijat Momoh is 1841061819. It was assigned to this individual provider in the NPPES registry on January 9, 2024.

Where is Khadijat Momoh located?

Khadijat Momoh practices at 6 Barone Ct, Providence, RI 02904. The listed phone number is (512) 363-0793.

What is Khadijat Momoh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Khadijat Momoh enrolled in Medicare?

Yes. Khadijat Momoh 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 Khadijat Momoh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Khadijat Momoh reassigns Medicare benefits to 4 organizations: Medicine And Long Term Care Associates, LLC (Cranston, RI), Value Based Long Term Care H PC (Framingham, MA), Hdc Care Solutions, LLC (Framingham, MA) and Healthdrive Medical Services Southeast LLC (Columbia, 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 Khadijat Momoh'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 Khadijat Momoh was last updated on March 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.