KEMUNTO MOKORA – Family Nurse Practitioner, NPI 1295303386

KEMUNTO MOKORA is a healthcare provider. based in Detroit, Michigan. specializing in NURSE PRACTITIONER. They hold a License No. 4704393156APP22 (MI). The NPI Number for KEMUNTO MOKORA is 1295303386

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
KEMUNTO MOKORA
NPI
1295303386
Phone
(419) 378-0947
Address
220 W Congress St
Enumeration Date
15 June 2021
Last Update Date
12 September 2024

Doctor Profile

Medical School Name
UNIVERSITY OF TOLEDO COLLEGE OF MEDICINE
Secondary Phone
4192145700
Graduation Year
2020 (6 years ago)
PAC ID
6507212677
Group Practice PAC ID
5698686665
Professional Enrollment ID
I20231025002520
Address ID
OH436045827TO1415XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:4State licenses:2Digital endpointsOther names

8,105 NURSE PRACTITIONER in MI

Provider Addresses for KEMUNTO MOKORA

  • 220 W Congress St

    Detroit, MI 482263289

    Phone: (419) 378-0947

    Type: Location

  • 313 JEFFERSON AVE

    TOLEDO, OH 436041004

    Phone: (419) 720-7883

    Type: Mailing

  • 7657 STONE HILL CT

    MAUMEE, OH 435379576

    Phone: (419) 378-0947

    Type: Mailing

  • 7320 OH-108

    WAUSEON, OH 53567

    Phone: (419) 285-6655

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $585.

Total Amount is formed as General ($585) + Research ($0) + Ownership ($0) = $585.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: ABBVIE INC. ($173).

Total Amount

$585

General + Research + Ownership

Payments

7

Total payment records

General Amount

$585

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

Latest reported date

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: 2023-10-25

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
I20231025002520INurse PractitionerOHTBD

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 48226)

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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: 5698686665View full group profile
NameSpecialtyState
Nurse PractitionerOH
Nurse PractitionerMI
Nurse PractitionerOH
General PracticeOH
Mental Health CounselorOH
Family PracticeOH
Nurse PractitionerMI
Nurse PractitionerOH

Reviews

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Frequently asked questions

How is KEMUNTO MOKORA identified in CMS data?
CMS-hosted NPPES data lists KEMUNTO MOKORA with NPI 1295303386.
Can I rely on KEMUNTO MOKORA being an active provider?
As of the registry snapshot, KEMUNTO MOKORA is marked active.
What taxonomy line describes KEMUNTO MOKORA?
For research purposes, treat KEMUNTO MOKORA as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where is KEMUNTO MOKORA based?
KEMUNTO MOKORA is tied to Detroit, Michigan in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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