VALLERY ISOKEN ENOGHABUN (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1043945918
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
Provider Addresses for VALLERY ISOKEN ENOGHABUN (APRN)
915 INTERSTATE RIDGE DR
GAINESVILLE, GA 305017076
Phone: (678) 207-2900
Mailing address matches the actual address.
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.
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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: 2022-12-20
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 |
|---|---|---|---|---|
| I20221220001634 | I | Nurse Practitioner | GA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 17 | 12 | $0 |
Insurance plans in this area (ZIP 30501)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | SC | |
| Clinical Social Worker | GA | |
| Clinical Social Worker | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| P S Y C H I A T R Y | GA | |
| Marriage And Family Therapist | GA | |
| - | GA | |
| Mental Health Counselor | GA | |
| Mental Health Counselor | GA |
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