VIVIAN ADECK NDANGOH-TENDONG (DNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1962075473

VIVIAN ADECK NDANGOH-TENDONG (DNP) is a healthcare provider. based in Montgomery, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP. They hold a License No. 041417477 (IL). The NPI Number for VIVIAN ADECK NDANGOH-TENDONG (DNP) is 1962075473

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
VIVIAN ADECK NDANGOH-TENDONG (DNP)
NPI
1962075473
Phone
(630) 340-0276
Address
2500 CONCORD CT
Enumeration Date
22 July 2021
Last Update Date
6 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6308442662
Graduation Year
2022 (4 years ago)
PAC ID
9436597507
Group Practice PAC ID
5294811535
Professional Enrollment ID
I20240409002016
Address ID
IL605065185AU70XXXSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:4State licenses:2Digital endpointsOther names

11,637 NURSE PRACTITIONER in IL

Provider Addresses for VIVIAN ADECK NDANGOH-TENDONG (DNP)

  • 2500 CONCORD CT

    MONTGOMERY, IL 605385042

    Phone: (630) 340-0276

    Type: Mailing

  • 811 W JOHN ST

    YORKVILLE, IL 605609249

    Phone: (630) 553-8046

    Type: Location

  • 70 S RIVER ST

    AURORA, IL 605065185

    Phone: (630) 844-2662

    Fax: (630) 844-3084

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $384.

Total Amount is formed as General ($384) + Research ($0) + Ownership ($0) = $384.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: ABBVIE INC. ($111).

Total Amount

$384

General + Research + Ownership

Payments

19

Total payment records

General Amount

$384

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

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: 2024-04-09

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
I20240409002016INurse PractitionerILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60538)

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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: 5294811535View full group profile
NameSpecialtyState
-IL
Clinical Social WorkerIL
-IL
Physician AssistantIL
P S Y C H I A T R YIL
Mental Health CounselorIL
Mental Health CounselorIL
-IL
Mental Health CounselorIL
Clinical Social WorkerIL

Reviews

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Frequently asked questions

Does VIVIAN ADECK NDANGOH-TENDONG (DNP) have a public NPI I can cite?
Public records show VIVIAN ADECK NDANGOH-TENDONG (DNP) under NPI 1962075473.
Should I treat VIVIAN ADECK NDANGOH-TENDONG (DNP) as an active provider?
Patients and plans typically see VIVIAN ADECK NDANGOH-TENDONG (DNP) as active in the national extract.
Which specialty label fits VIVIAN ADECK NDANGOH-TENDONG (DNP)?
NPPES ties VIVIAN ADECK NDANGOH-TENDONG (DNP) to Psychiatric/Mental Health Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to VIVIAN ADECK NDANGOH-TENDONG (DNP)?
VIVIAN ADECK NDANGOH-TENDONG (DNP) is associated with Montgomery, Illinois in the same public data insurers reference.
Why is information missing for VIVIAN ADECK NDANGOH-TENDONG (DNP)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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