Mamoona Khan
NPI 1902411259 · Psychiatric/Mental Health Nurse Practitioner · Canton, MI
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mamoona Khan is a Psychiatric/Mental Health Nurse Practitioner provider in Canton, MI (NPI 1902411259).
Provider details
- NPI number
- 1902411259
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 4704365990 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-09-14
- Last updated
- 2025-08-01
- Certified
- 2025-08-01
Frequently asked questions
- What is Mamoona Khan's NPI number?
- Mamoona Khan's National Provider Identifier (NPI) is 1902411259, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mamoona Khan's specialty?
- Mamoona Khan is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mamoona Khan located?
- Mamoona Khan's practice location on file with NPPES is 43825 Michigan Ave, Canton, MI 48188-2551.
- What is Mamoona Khan's phone number?
- The practice phone number listed in the NPPES registry for Mamoona Khan is (734) 397-3088.
- Does Mamoona Khan accept Medicare?
- Mamoona Khan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mamoona Khan's NPI active?
- Yes — Mamoona Khan's NPI (1902411259) is active in the NPPES registry as of the last update on 2025-08-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.