KHADIJA FOFANA – Psychiatric/Mental Health Nurse Practitioner, NPI 1407413297

KHADIJA FOFANA is a healthcare provider. based in Somerset, New Jersey. specializing in NURSE PRACTITIONER. They hold a License No. 26NJ01045000 (NJ). The NPI Number for KHADIJA FOFANA is 1407413297

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
KHADIJA FOFANA
NPI
1407413297
Phone
(717) 341-8790
Address
122 GIRARD AVE
Enumeration Date
28 May 2019
Last Update Date
7 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7329141688
Graduation Year
2020 (6 years ago)
PAC ID
6204254113
Group Practice PAC ID
0648172809
Professional Enrollment ID
I20200909002000
Address ID
NJ087551245TO1691X9XXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

7,515 NURSE PRACTITIONER in NJ

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Provider Addresses for KHADIJA FOFANA

  • 122, Girard Avenue, Somerset, Franklin Township, Somerset County, New Jersey, 08873, United States

    SOMERSET, NJ 088732417

    Phone: (717) 341-8790

    Type: Mailing

  • 81 CROOKED STICK RD

    JACKSON, NJ 085274032

    Phone: (609) 916-6428

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 75 Open Payments records for all available years, with a total value of $1,259.

Total Amount is formed as General ($1,259) + Research ($0) + Ownership ($0) = $1,259.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($306).

Total Amount

$1,259

General + Research + Ownership

Payments

75

Total payment records

General Amount

$1,259

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-09-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200909002000INurse PractitionerNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes23170$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes16289$0
90792Psychiatric diagnostic evaluation with medical services5251$0
99238Hospital discharge day management, 30 minutes or less3732$0
View full utilization report →

Insurance plans in this area (ZIP 08873)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648172809View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm KHADIJA FOFANA's NPI?
Yes. KHADIJA FOFANA is listed with NPI 1407413297 in the public NPI dataset.
Is KHADIJA FOFANA listed as active for patients and plans?
The listing shows KHADIJA FOFANA as active in the NPI system.
What healthcare role does KHADIJA FOFANA hold?
Scheduling teams often label KHADIJA FOFANA under Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does KHADIJA FOFANA list a practice location?
Patients near Somerset, New Jersey may find KHADIJA FOFANA in results; validate coverage separately.
Why does KHADIJA FOFANA have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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