MS. SIA KOMBA (NURSE PRACTITIONER) – Psychiatric/Mental Health Nurse Practitioner, NPI 1518587807

MS. SIA KOMBA (NURSE PRACTITIONER) is a healthcare provider. based in Eden prairie, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials NURSE PRACTITIONER. They hold a License No. 21422 (SC). The NPI Number for MS. SIA KOMBA (NURSE PRACTITIONER) is 1518587807

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
MS. SIA KOMBA (NURSE PRACTITIONER)
NPI
1518587807
Phone
Not provided
Address
11000 OPTUM CIR
Enumeration Date
16 April 2020
Last Update Date
2 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8033953400
Graduation Year
2017 (9 years ago)
PAC ID
1456757194
Group Practice PAC ID
6507260668
Professional Enrollment ID
I20210907000479
Address ID
SC291181442OR3000XRDXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness85
Years active:6State licenses:4Digital endpointsOther names

5,299 NURSE PRACTITIONER in SC

Provider Addresses for MS. SIA KOMBA (NURSE PRACTITIONER)

  • 11000 OPTUM CIR

    EDEN PRAIRIE, MN 553442503

    Phone:

    Type: Mailing

  • 15 BRENDAN WAY

    GREENVILLE, SC 296153562

    Phone: (864) 213-2700

    Type: Location

  • 855 SAM NEWELL RD STE 100

    MATTHEWS, NC 281057593

    Phone: (704) 360-3637

    Type: Location

  • 15 Brendan Way

    Greenville, SC 296153562

    Phone: (864) 213-2700

    Type: Location

  • 1 Saint Francis Dr

    Greenville, SC 296013955

    Phone: (864) 255-1000

    Type: Location

  • 3 RICHLAND MEDICAL PARK DR STE 310

    COLUMBIA, SC 292036862

    Phone: (803) 434-8323

    Fax: (803) 434-8326

    Type: Location

  • PO BOX 743904

    ATLANTA, GA 303743904

    Phone: (803) 296-7320

    Fax: (803) 293-7330

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-06-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20210907000479INurse PractitionerSCTBD
I20221121003345INurse PractitionerNCTBD
I20250625002117INurse PractitionerCOTBD
I20250630001782INurse PractitionerDCTBD

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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes145134$0
View full utilization report →

Insurance plans in this area (ZIP 55344)

Loading plans...

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: 6507260668View full group profile
NameSpecialtyState
Diagnostic Radiology, Interventional RadiologyCO
Nurse PractitionerNC
Family PracticeSC
Certified Registered Nurse Anesthetist (Crna)SC
Internal MedicineNC
Nurse PractitionerSC
Certified Registered Nurse Anesthetist (Crna)SC
Nurse PractitionerNC
Physician AssistantSC
Nurse PractitionerSC

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What NPI should I save for MS. SIA KOMBA (NURSE PRACTITIONER)?
Save NPI 1518587807 if you need a stable reference for MS. SIA KOMBA (NURSE PRACTITIONER).
Is MS. SIA KOMBA (NURSE PRACTITIONER)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize MS. SIA KOMBA (NURSE PRACTITIONER)'s specialty in plain language?
Clinically, the directory lists MS. SIA KOMBA (NURSE PRACTITIONER) with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for MS. SIA KOMBA (NURSE PRACTITIONER)?
The page summarizes Eden Prairie, Minnesota for MS. SIA KOMBA (NURSE PRACTITIONER); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

Similar Providers

BRIELLE J STOYKE (CNM, PMHNP-BC)

Psychiatric/Mental Health Nurse Practitioner
69, Exchange Street West, Downtown, Saint Paul, Ramsey County, Minnesota, 55102, United States
NPI: 1811988967

DR. LAURA JANELLE MCDERMOTT (PMHNP-BC, CNP, LMFT)

Psychiatric/Mental Health Nurse Practitioner
5624 LINCOLN DR STE 295
NPI: 1801091749

MS. RENATTIE LENORA MARTIN (NP-C)

Psychiatric/Mental Health Nurse Practitioner
11000, Optum Circle, Eden Prairie, Hennepin County, Minnesota, 55344, United States
NPI: 1407182926

SEAN WILLIAM MCGEE (CNP)

Psychiatric/Mental Health Nurse Practitioner
1900 SILVER LAKE NWRD 110
NPI: 1265705701

MARIE SUND

Psychiatric/Mental Health Nurse Practitioner
11010 PRAIRIE LAKES DR STE 350
NPI: 1346645355

OPTUM MEDICAL SERVICES, P.C.

Health Service Psychologist
1009 WINDCROSS CT
NPI: 1023409273

DR. CORTNEY MICHELLE OLEJNICZAK (CNP)

Psychiatric/Mental Health Nurse Practitioner
City West Parkway, Eden Prairie, Hennepin County, Minnesota, 55344-3602, United States
NPI: 1801311303

ANGELA M SHENGENA (CNP)

Psychiatric/Mental Health Nurse Practitioner
576 Bielenberg Dr Ste 180
NPI: 1215606124

JOY MARIE KUBIS (MSN, APRN, PMHNP-BC)

Psychiatric/Mental Health Nurse Practitioner
120 BITTERSWEET LN
NPI: 1891498754