OMAR MUSA (FNP-C) – Family Nurse Practitioner, NPI 1891323960
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
16,360 NURSE PRACTITIONER in CA
Provider Addresses for OMAR MUSA (FNP-C)
PO BOX 8791
MAMMOTH LAKES, CA 935468791
Phone: (760) 716-3854
Type: Mailing
250 N SEE VEE LN
BISHOP, CA 935148130
Phone: (760) 873-8461
Fax: (760) 873-3935
Type: Location
85 Sierra Park Rd
Mammoth Lakes, CA 935462073
Phone: (760) 934-3311
Type: Location
250 N See Vee Ln
Bishop, CA 935148130
Phone: (760) 873-8461
Fax: (760) 873-3908
Type: Location
67 EVANS ROAD
WOFFORD HEIGHTS, CA 932859640
Phone: (760) 376-2276
Fax: (760) 376-4801
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2020-12-07
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20201207002389 | I | Nurse Practitioner | CA | 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 93546)
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Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| Marriage And Family Therapist | CA | |
| N E P H R O L O G Y | CA | |
| Family Practice | CA | |
| O P T O M E T R Y | CA | |
| Physician Assistant | CA | |
| O P T O M E T R Y | CA | |
| - | CA | |
| Marriage And Family Therapist | CA | |
| Nurse Practitioner | CA | |
| Family Practice | CA |
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