FANTA KAMARA (NP) – Registered Nurse, NPI 1972990612

FANTA KAMARA (NP) is a healthcare provider. based in Columbus, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. AP144310 (TX). The NPI Number for FANTA KAMARA (NP) is 1972990612

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
FANTA KAMARA (NP)
NPI
1972990612
Phone
(614) 488-2266
Address
2547 W BROAD ST
Enumeration Date
21 April 2015
Last Update Date
21 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8173365060
Graduation Year
2018 (8 years ago)
PAC ID
9537506910
Group Practice PAC ID
1557308319
Professional Enrollment ID
I20240320003610
Address ID
TX761101812FO2221XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:11State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for FANTA KAMARA (NP)

  • 2547 W BROAD ST

    COLUMBUS, OH 432043324

    Phone: (614) 488-2266

    Fax: (614) 288-3004

    Type: Mailing

  • 2221 8TH AVE

    FORT WORTH, TX 761101812

    Phone: (817) 336-5060

    Fax: (817) 336-1744

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $363.

Total Amount is formed as General ($363) + Research ($0) + Ownership ($0) = $363.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($84).

Total Amount

$363

General + Research + Ownership

Payments

19

Total payment records

General Amount

$363

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

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: 2024-03-20

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
I20240320003610INurse PractitionerTXTBD

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 43204)

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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: 1557308319View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerTX
Nephrology, Internal MedicineTX
Nephrology, Internal MedicineTX
Nurse PractitionerTX
N E P H R O L O G YTX
Nurse PractitionerTX
N E P H R O L O G YTX
Nurse PractitionerTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What identifier follows FANTA KAMARA (NP) across health systems?
The NPI 1972990612 uniquely identifies FANTA KAMARA (NP) in U.S. healthcare data.
Should I treat FANTA KAMARA (NP) as an active provider?
Patients and plans typically see FANTA KAMARA (NP) as active in the national extract.
What services align with FANTA KAMARA (NP)'s listing?
FANTA KAMARA (NP)'s public classification highlights Registered Nurse. Clinical services aligned with this taxonomy classification.
Which community is linked to FANTA KAMARA (NP)?
FANTA KAMARA (NP) shows a connection to Columbus, Ohio in registry-derived data.
Who maintains FANTA KAMARA (NP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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