MOUALLA KAZAN (NP) – Family Nurse Practitioner, NPI 1205223948

MOUALLA KAZAN (NP) is a healthcare provider. based in Liberty twp, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. COA.17252-NP (OH). The NPI Number for MOUALLA KAZAN (NP) is 1205223948

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
MOUALLA KAZAN (NP)
NPI
1205223948
Phone
(973) 641-5327
Address
6827 EDGEWORTH DR
Enumeration Date
21 April 2015
Last Update Date
30 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6104023888
Graduation Year
2015 (11 years ago)
PAC ID
1759692999
Group Practice PAC ID
3072425123
Professional Enrollment ID
I20180110000046
Address ID
PA181036235AL1210XBLVD500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:11State licenses:2Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for MOUALLA KAZAN (NP)

  • 6827 EDGEWORTH DR

    LIBERTY TWP, OH 450110437

    Phone: (973) 641-5327

    Type: Mailing

  • 7345 KINGSGATE WAY

    WEST CHESTER, OH 450692453

    Phone: (513) 777-1333

    Type: Location

  • PO BOX 783311

    PHILADELPHIA, PA 191783311

    Phone: (484) 884-4500

    Fax: (484) 884-0699

    Type: Mailing

  • 7345 Kingsgate Way

    West Chester, OH 450692453

    Phone: (513) 777-1333

    Type: Location

  • 511 VNA RD

    EAST STROUDSBURG, PA 183018502

    Phone: (610) 861-8080

    Fax: (570) 369-1112

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2024-02-08 • Largest payer in this snapshot: PFIZER INC. ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-08

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
PFIZER INC.$17
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: 2023-09-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20180110000046INurse PractitionerPATBD
I20230918001480INurse 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
99214Established patient office or other outpatient visit, 30-39 minutes132127$0
99213Established patient office or other outpatient visit, 20-29 minutes5553$0
99204New patient office or other outpatient visit, 45-59 minutes4141$0
81003Automated urinalysis test2524$0
87637Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus2121$0
View full utilization report →

Insurance plans in this area (ZIP 45011)

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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: 3072425123View full group profile

Reviews

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Frequently asked questions

What is MOUALLA KAZAN (NP)'s NPI number?
MOUALLA KAZAN (NP)'s NPI is 1205223948 — the number used across U.S. healthcare to identify this provider.
Is there an active status for MOUALLA KAZAN (NP)?
For scheduling context, MOUALLA KAZAN (NP) is shown as active in the registry.
What expertise is attributed to MOUALLA KAZAN (NP)?
MOUALLA KAZAN (NP)'s specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MOUALLA KAZAN (NP) located near Liberty Twp?
MOUALLA KAZAN (NP) currently maps to Liberty Twp, Ohio in this extract.
When was this NPI issued?
Enumeration for MOUALLA KAZAN (NP) is noted as April 21, 2015 where the registry provides it.

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