AICHA FOFANA (MSN, APRN, FNP-C) – Pediatric Nurse Practitioner, NPI 1124883228
Pediatric Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,515 NURSE PRACTITIONER in NJ
Provider Addresses for AICHA FOFANA (MSN, APRN, FNP-C)
374 7TH AVE W UNIT 7114
NEWARK, NJ 071077005
Phone: (862) 235-7886
Type: Location
830 Morris Tpke Fl 4
Short Hills, NJ 070782625
Phone: (888) 803-3370
Type: Location
1400 N Coit Rd Ste 302
McKinney, TX 750716656
Phone: (888) 803-3370
Type: Location
9700 N 91st St Ste A115
Scottsdale, AZ 852585036
Phone: (888) 803-3370
Type: Location
156 William St Rm 303
New York, NY 100385307
Phone: (888) 803-3370
Type: Location
1400 N COIT RD STE 302
MCKINNEY, TX 750716656
Phone: (888) 803-3370
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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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: 2025-09-11
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 |
|---|---|---|---|---|
| I20250911001254 | I | Nurse Practitioner | NJ | 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 07107)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NJ | |
| Nurse Practitioner | NJ | |
| Nurse Practitioner | NJ | |
| Internal Medicine | NY | |
| Physician Assistant | NY | |
| Internal Medicine | VA |
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