PETER NGOSONG (PSYCHIATRIC NP) – Licensed Practical Nurse, NPI 1063839892
Licensed Practical Nurse
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
14,989 NURSE PRACTITIONER in OH
Provider Addresses for PETER NGOSONG (PSYCHIATRIC NP)
3513 EMERY CLUB WAY
COLUMBUS, OH 432193157
Phone: (614) 592-5468
Type: Mailing
104 NEW STATESIDE DR
CHAPEL HILL, NC 275161213
Phone: (919) 942-2803
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $291.
Total Amount is formed as General ($291) + Research ($0) + Ownership ($0) = $291.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($168).
Total Amount
$291
General + Research + Ownership
Payments
5
Total payment records
General Amount
$291
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Otsuka America Pharmaceutical, Inc. | $168 |
| Alkermes, Inc. | $109 |
| Teva Pharmaceuticals USA, Inc. | $14 |
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: 2022-02-28
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 |
|---|---|---|---|---|
| I20220228000082 | 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 43219)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | KY | |
| Nurse Practitioner | NC | |
| Nurse Practitioner | WA | |
| Nurse Practitioner | NC | |
| P S Y C H I A T R Y | NC | |
| Nurse Practitioner | NC | |
| Nurse Practitioner | NC | |
| P S Y C H I A T R Y | NC | |
| Nurse Practitioner | LA | |
| Nurse Practitioner | NC |
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