MUSUE KANEH (FNP) – Family Nurse Practitioner, NPI 1194006973
Family Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MUSUE KANEH (FNP)
PO BOX 10880
PRESCOTT, AZ 863040880
Phone: (928) 759-5874
Fax: (928) 458-2039
Type: Mailing
1182 CYPRESS GLEN CIR
KISSIMMEE, FL 347417560
Phone: (407) 430-3148
Type: Location
10210 Couloak Dr
Ste E
Charlotte, NC 282167679
Phone: (704) 801-2000
Type: Location
5717 Albemarle Rd
Charlotte, NC 282121634
Phone: (704) 563-2150
Type: Location
5727 Prosperity Crossing Dr
Ste 1100
Charlotte, NC 282692206
Phone: (704) 863-9930
Type: Location
7810 Providence Rd
Ste 102
Charlotte, NC 282262954
Phone: (704) 543-6636
Type: Location
2525 Garden St
Titusville, FL 327962549
Phone: (321) 966-2646
Type: Location
1590 S STATE ROAD 15A STE 100
DELAND, FL 327207817
Phone: (386) 774-0016
Type: Location
613 E ROOSEVELT BLVD
MONROE, NC 281125124
Phone: (704) 283-8193
Type: Location
PO BOX 19305
CHARLOTTE, NC 282199305
Phone:
Type: Mailing
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 $26.
Total Amount is formed as General ($26) + Research ($0) + Ownership ($0) = $26.
Last reported payment date: 2024-01-31 • Largest payer in this snapshot: PFIZER INC. ($26).
Total Amount
$26
General + Research + Ownership
Payments
1
Total payment records
General Amount
$26
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $26 |
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: 2024-03-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20161118001431 | I | Nurse Practitioner | AZ | TBD |
| I20240313004298 | I | Nurse Practitioner | FL | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 86304)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Orthopedic Surgery | AZ | |
| Physician Assistant | AZ | |
| Nurse Practitioner | MI | |
| Family Practice | AZ | |
| Nurse Practitioner | SC | |
| - | TN | |
| Cardiovascular Disease (Cardiology) | AZ | |
| - | AZ | |
| P S Y C H I A T R Y | AZ |
Reviews
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