MEDINAT M MOMOH-KAZEEM FNP-C
NPI 1942907027
Nurse Practitioner - Family in Granada Hills, CA

Active since February 09, 2023PECOS EnrolledAccepts Medicare Assignment
17709 CHATSWORTH ST, GRANADA HILLS, CA 91344(818) 363-8176 Get Directions Write a Review

NPPES record last updated: March 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 11, 2025, Feb 9, 2023 (2 updates tracked since 2023).

About Medinat M Momoh-kazeem Fnp-c NPPES

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

MEDINAT M MOMOH-KAZEEM FNP-C (NPI 1942907027) is an individual family provider in Granada Hills, California, licensed in California (95023709) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1942907027
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMEDINAT M MOMOH-KAZEEMCredential: FNP-C
Location Address17709 CHATSWORTH STGranada Hills, CA 91344-5675
Mailing Address17709 Chatsworth StGranada Hills, CA 91344-5675 · (818) 363-8176
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 9, 2023
Last NPPES UpdateMarch 11, 20252 updates tracked since enumeration
NPPES CertifiedMarch 11, 2025
NPI 1942907027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · 95023709
17709 CHATSWORTH ST, Granada Hills, CA 91344

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Medinat M Momoh-kazeem Fnp-c 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 ID6800304429
PECOS Enrollment IDI20250805001649
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91344 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Practice
17709 CHATSWORTH ST
GRANADA HILLS, CA 91344
Physician Assistant (Medical)
17709 CHATSWORTH ST
GRANADA HILLS, CA 91344
Family Medicine
17709 CHATSWORTH ST
GRANADA HILLS, CA 91344
Nurse Practitioner (Family)
17709 CHATSWORTH ST
GRANADA HILLS, CA 91344

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 Medinat Momoh-kazeem's NPI number?

The NPI number for Medinat Momoh-kazeem is 1942907027. It was assigned to this individual provider in the NPPES registry on February 9, 2023.

Where is Medinat Momoh-kazeem located?

Medinat Momoh-kazeem practices at 17709 Chatsworth St, Granada Hills, CA 91344. The listed phone number is (818) 363-8176.

What is Medinat Momoh-kazeem's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Medinat Momoh-kazeem enrolled in Medicare?

Yes. Medinat Momoh-kazeem 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.

When was this NPI record last updated?

The NPPES record for Medinat Momoh-kazeem was last updated on March 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.