MRS. BLESSING ADA IKONNE (NP- C) – Family Nurse Practitioner, NPI 1780091983

MRS. BLESSING ADA IKONNE (NP- C) is a healthcare provider. based in Mableton, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP- C. They hold a License No. RN197583 (GA). The NPI Number for MRS. BLESSING ADA IKONNE (NP- C) is 1780091983

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
MRS. BLESSING ADA IKONNE (NP- C)
NPI
1780091983
Phone
(574) 386-4030
Address
634 EXCALIBUR CT SE
Enumeration Date
20 July 2014
Last Update Date
10 November 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7704248222
Graduation Year
2014 (12 years ago)
PAC ID
3375765753
Group Practice PAC ID
6709065402
Professional Enrollment ID
I20141119002700
Address ID
GA301527742KE5150XRDXX501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for MRS. BLESSING ADA IKONNE (NP- C)

  • 634 EXCALIBUR CT SE

    MABLETON, GA 301264699

    Phone: (574) 386-4030

    Type: Mailing

  • 2994 ATLANTA RD SE

    SMYRNA, GA 300803655

    Phone: (866) 389-2727

    Type: Location

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 $13.

Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.

Last reported payment date: 2023-01-17 • Largest payer in this snapshot: Kowa Pharmaceuticals America, Inc. ($13).

Total Amount

$13

General + Research + Ownership

Payments

1

Total payment records

General Amount

$13

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-17

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2014-11-19

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
I20141119002700INurse PractitionerGATBD

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
87804Detection test by immunoassay with direct visual observation for influenza virus2512$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus2120$0
99213Established patient office or other outpatient visit, 20-29 minutes2121$0
99214Established patient office or other outpatient visit, 30-39 minutes1817$0
71046X-ray of chest, 2 views1312$0
View full utilization report →

Insurance plans in this area (ZIP 30126)

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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: 6709065402View full group profile
NameSpecialtyState
-GA
-GA
-GA
R H E U M A T O L O G YMI
Hospitalist, Internal MedicineGA
Nurse PractitionerTN
Family PracticeGA
Physician AssistantGA
Physician AssistantGA
Hospitalist, Internal MedicineGA

Reviews

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Frequently asked questions

Is there an official ID for MRS. BLESSING ADA IKONNE (NP- C) in U.S. healthcare records?
The official identifier for MRS. BLESSING ADA IKONNE (NP- C) is NPI 1780091983.
Would MRS. BLESSING ADA IKONNE (NP- C) appear as active to a payer?
You can treat MRS. BLESSING ADA IKONNE (NP- C) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is MRS. BLESSING ADA IKONNE (NP- C)?
MRS. BLESSING ADA IKONNE (NP- C) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with MRS. BLESSING ADA IKONNE (NP- C)?
Directory geography for MRS. BLESSING ADA IKONNE (NP- C) centers on Mableton, Georgia.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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