MS. INTISAR IBRAHIM DNP, FNP, PMHNP-BC
NPI 1912335191
Nurse Practitioner - Psychiatric/Mental Health in Paterson, NJ

Active since October 24, 2013PECOS EnrolledAccepts Medicare Assignment
318 21ST AVE STE 103, PATERSON, NJ 07501(201) 233-2999(334) 373-4231 Get Directions Write a Review

NPPES record last updated: November 10, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 10, 2023, Apr 12, 2022, Sep 15, 2016 (3 updates tracked since 2016).

About Ms. Intisar Ibrahim Dnp, Fnp, Pmhnp-bc NPPES

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

MS. INTISAR IBRAHIM DNP, FNP, PMHNP-BC (NPI 1912335191) is an individual psychiatric/mental health provider in Paterson, New Jersey, licensed in New Jersey (26NJ00467900) and active in the NPI registry since October 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1912335191
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. INTISAR IBRAHIMCredential: DNP, FNP, PMHNP-BC
Location Address318 21ST AVE STE 103Paterson, NJ 07501-3538
Mailing Address318 21st Ave Ste 103Paterson, NJ 07501-3538 · (201) 233-2999 · Fax (334) 373-4231
Fax(334) 373-4231
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateOctober 24, 2013
Last NPPES UpdateNovember 10, 20233 updates tracked since enumeration
NPPES CertifiedNovember 10, 2023
✔ NPI 1912335191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NJ · 26NJ00467900
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 26NJ00467900 (NJ)
318 21ST AVE STE 103, Paterson, NJ 07501

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

Ms. Intisar Ibrahim Dnp, Fnp, 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 ID3072890086
PECOS Enrollment IDI20170522002830
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

8

Medicare enrollment records show Intisar Ibrahim reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
606 BROADWAY
Paterson, NJ 07514
  • Reassigned Medicare billing, New Jersey enrollment
  • 40 clinicians in this Medicare group
Psychiatry
401 HAMBURG TPKE, STE. 302
Wayne, NJ 07470
  • Reassigned Medicare billing, New Jersey enrollment
  • 53 clinicians in this Medicare group
Psychiatry
506 HAMBURG TPKE, SUITE 209
Wayne, NJ 07470
  • Reassigned Medicare billing, New Jersey enrollment
  • 6 clinicians in this Medicare group
Endocrinology, Diabetes & Metabolism
300A FOREST AVE
Paramus, NJ 07652
  • Reassigned Medicare billing, New Jersey enrollment
  • 53 clinicians in this Medicare group
Urgent Care
200 FREEWAY DR E STE 305
East Orange, NJ 07018
  • Reassigned Medicare billing, New Jersey enrollment
  • 16 clinicians in this Medicare group
Clinical
79 OGLE RD
Old Tappan, NJ 07675
  • Reassigned Medicare billing, New Jersey enrollment
  • 7 clinicians in this Medicare group
Psychologist
1 BLUE HILL PLZ STE 57
Pearl River, NY 10965
  • Reassigned Medicare billing, New York enrollment
  • 4 clinicians in this Medicare group
Clinic/Center
920 CASTLE HILL AVE
Bronx, NY 10473
  • Reassigned Medicare billing, New York enrollment
  • 4 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 07501 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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 Intisar Ibrahim's NPI number?

The NPI number for Intisar Ibrahim is 1912335191. It was assigned to this individual provider in the NPPES registry on October 24, 2013.

Where is Intisar Ibrahim located?

Intisar Ibrahim practices at 318 21st Ave Ste 103, Paterson, NJ 07501. The listed phone number is (201) 233-2999.

What is Intisar Ibrahim's specialty?

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

Is Intisar Ibrahim enrolled in Medicare?

Yes. Intisar Ibrahim 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 Intisar Ibrahim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Intisar Ibrahim reassigns Medicare benefits to 8 organizations: G & s Medical Associates LLC (Paterson, NJ), Wayne Behavioral Service, LLC (Wayne, NJ), Garden State Counseling, Inc (Wayne, NJ), Hamilton Behavioral MD PA (Paramus, NJ), Bmg East Orange LLC (East Orange, NJ) and 3 more organizations, listed in the Medicare section above. 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 Intisar Ibrahim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Intisar Ibrahim accept?

Health plans from Anthem Blue Cross and Blue Shield and Oscar Health list Intisar Ibrahim 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 Intisar Ibrahim was last updated on November 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.