MS. FATIMA AYODELE LAH (FNP) – Registered Nurse, NPI 1477053338
Registered Nurse
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,504 NURSE PRACTITIONER in AZ
Provider Addresses for MS. FATIMA AYODELE LAH (FNP)
410 N MALACATE ST
AJO, AZ 853212254
Phone: (832) 455-6678
Fax: (520) 387-6036
Type: Mailing
17487 S HEALTHCARE DR
LAVEEN, AZ 853398500
Phone: (520) 550-6000
Fax: (520) 550-6027
Type: Location
2946, East Country Shadows Street, Country Shadows, Gilbert, Maricopa County, Arizona, 85298, United States
GILBERT, AZ 852989048
Phone: (832) 455-6678
Type: Mailing
PO BOX 38
SACATON, AZ 851470001
Phone: (602) 528-1200
Fax: (602) 528-1255
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $477.
Total Amount is formed as General ($477) + Research ($0) + Ownership ($0) = $477.
Last reported payment date: 2024-10-04 • Largest payer in this snapshot: ViiV Healthcare Company ($124).
Total Amount
$477
General + Research + Ownership
Payments
6
Total payment records
General Amount
$477
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-04
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2023-10-13
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 |
|---|---|---|---|---|
| I20230126000445 | I | Nurse Practitioner | TX | TBD |
| I20231013003073 | I | Nurse Practitioner | AZ | 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 85321)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AZ | |
| Physician Assistant | AZ | |
| Family Practice | AZ | |
| Clinical Psychologist | AZ | |
| Nurse Practitioner | AZ | |
| Family Practice | AZ | |
| Nurse Practitioner | AZ | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | AZ | |
| Physical Therapist In Private Practice | AZ |
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