NDIFREKE NTIENSE ENYEAMA (FNP) – Family Medicine Physician, NPI 1295388783
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,767 NURSE PRACTITIONER in MD
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Provider Addresses for NDIFREKE NTIENSE ENYEAMA (FNP)
8212 BROOKTREE ST
LAUREL, MD 207242928
Phone:
Type: Mailing
Chase Brexton Health Services, 1111, North Charles Street, Midtown-Belvedere, Baltimore, Maryland, 21201, United States
BALTIMORE, MD 212015505
Phone: (410) 837-2050
Fax: (866) 629-0091
Type: Location
9 SCHILLING RD STE LL4
HUNT VALLEY, MD 210318616
Phone: (443) 845-3037
Fax: (503) 506-0663
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $274.
Total Amount is formed as General ($274) + Research ($0) + Ownership ($0) = $274.
Last reported payment date: 2023-10-06 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($128).
Total Amount
$274
General + Research + Ownership
Payments
4
Total payment records
General Amount
$274
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Otsuka America Pharmaceutical, Inc. | $128 |
| Janssen Products, LP | $102 |
| Gilead Sciences, Inc. | $27 |
| Astellas Pharma US Inc | $17 |
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: 2020-06-30
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 |
|---|---|---|---|---|
| I20200630000437 | I | Nurse Practitioner | MD | 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 20724)
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