MR. EDEWOR BERNAED OSEVWE (PMHNP-BC) – Licensed Practical Nurse, NPI 1386939429
Licensed Practical Nurse
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for MR. EDEWOR BERNAED OSEVWE (PMHNP-BC)
6 SAPPHIRE LN
FAIRVIEW HEIGHTS, IL 622082639
Phone: (618) 447-3448
Type: Mailing
10350 N Vancouver Way
Portland, OR 972177530
Phone: (832) 438-0330
Fax: (832) 318-6133
Type: Location
6302 BROADWAY ST STE 130
PEARLAND, TX 775817859
Phone: (832) 438-0330
Type: Mailing
3 GARDEN SPRINGS CT
MANVEL, TX 77578
Phone: (832) 882-8017
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 18 Open Payments records for all available years, with a total value of $629.
Total Amount is formed as General ($629) + Research ($0) + Ownership ($0) = $629.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($252).
Total Amount
$629
General + Research + Ownership
Payments
18
Total payment records
General Amount
$629
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
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: 2024-03-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
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 |
|---|---|---|---|---|
| I20220608000588 | I | Nurse Practitioner | TX | TBD |
| I20220906001052 | I | Nurse Practitioner | OR | TBD |
| I20220928000611 | I | Nurse Practitioner | AZ | TBD |
| I20221212002270 | I | Nurse Practitioner | WA | TBD |
| I20240311000343 | 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 62208)
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