MAIMOUNA DIOP (PMHNP - BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1104396456
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MAIMOUNA DIOP (PMHNP - BC)
54, Forest View Place, Colvard Farms, Durham, Chatham County, North Carolina, 27713, United States
STE 103
DURHAM, NC 277075572
Phone: (919) 354-0840
Fax: (919) 748-4441
Type: Mailing
4102, Ben Franklin Boulevard, Stadium Heights, Mill Grove, Durham, Durham County, North Carolina, 27704, United States
DURHAM, NC 277042140
Phone: (919) 972-7700
Fax: (877) 256-8588
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $369.
Total Amount is formed as General ($369) + Research ($0) + Ownership ($0) = $369.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($273).
Total Amount
$369
General + Research + Ownership
Payments
8
Total payment records
General Amount
$369
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Otsuka America Pharmaceutical, Inc. | $273 |
| Alkermes, Inc. | $75 |
| Corium, LLC | $21 |
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: 2019-02-11
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 |
|---|---|---|---|---|
| I20190211003091 | I | Nurse Practitioner | NC | 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 27707)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NC | |
| - | NC | |
| - | NC | |
| - | NC | |
| Physician Assistant | NC | |
| - | NC | |
| - | NC | |
| Clinical Social Worker | PA | |
| - | NY | |
| Physician Assistant | PA |
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