IDONGESIT J STEPHENS (FNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1467964114

IDONGESIT J STEPHENS (FNP) is a healthcare provider. based in Rancho cucamonga, California. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 95005848 (CA). The NPI Number for IDONGESIT J STEPHENS (FNP) is 1467964114

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
IDONGESIT J STEPHENS (FNP)
NPI
1467964114
Phone
(909) 941-4870
Address
8710 Monroe Ct
Enumeration Date
2 November 2017
Last Update Date
28 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9099021082
Graduation Year
2021 (5 years ago)
PAC ID
0244638500
Group Practice PAC ID
9436062312
Professional Enrollment ID
I20211018001945
Address ID
CA917103569CH12555AVEX302
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for IDONGESIT J STEPHENS (FNP)

  • 8710 Monroe Ct

    Rancho Cucamonga, CA 917304883

    Phone: (909) 941-4870

    Type: Location

  • 13421, Sumter Street, Fontana, San Bernardino County, California, 92336, United States

    FONTANA, CA 923365425

    Phone: (909) 331-8360

    Type: Mailing

  • Central Avenue, Chino, San Bernardino County, California, 91762, United States

    CHINO, CA 917103530

    Phone: (909) 591-1444

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 156 Open Payments records for all available years, with a total value of $3,020.

Total Amount is formed as General ($3,020) + Research ($0) + Ownership ($0) = $3,020.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($558).

Total Amount

$3,020

General + Research + Ownership

Payments

156

Total payment records

General Amount

$3,020

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

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: 2021-10-18

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
I20211018001945INurse PractitionerCATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes4014$0
99214Established patient office or other outpatient visit, 30-39 minutes3611$0
90792Psychiatric diagnostic evaluation with medical services1717$0
View full utilization report →

Insurance plans in this area (ZIP 91730)

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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: 9436062312View full group profile
NameSpecialtyState
Marriage And Family TherapistCA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
Clinical Social WorkerCA
Clinical Social WorkerCA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
P S Y C H I A T R YMI

Reviews

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Frequently asked questions

What is IDONGESIT J STEPHENS (FNP)'s NPI number?
IDONGESIT J STEPHENS (FNP)'s NPI is 1467964114 — the number used across U.S. healthcare to identify this provider.
Is there an active status for IDONGESIT J STEPHENS (FNP)?
For scheduling context, IDONGESIT J STEPHENS (FNP) is shown as active in the registry.
What kind of doctor is IDONGESIT J STEPHENS (FNP)?
IDONGESIT J STEPHENS (FNP) is associated with Psychiatric/Mental Health Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with IDONGESIT J STEPHENS (FNP)?
Directory geography for IDONGESIT J STEPHENS (FNP) centers on Rancho Cucamonga, California.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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