IRENE KANAABI – Primary Care Nurse Practitioner, NPI 1760111934

IRENE KANAABI is a healthcare provider. based in Mount juliet, Tennessee. specializing in NURSE PRACTITIONER. They hold a License No. 0000031472 (TN). The NPI Number for IRENE KANAABI is 1760111934

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
IRENE KANAABI
NPI
1760111934
Phone
Not provided
Address
280 COBBLESTONE LNDG
Enumeration Date
6 June 2022
Last Update Date
6 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9312660722
Graduation Year
2021 (5 years ago)
PAC ID
4789182783
Group Practice PAC ID
0941683593
Professional Enrollment ID
I20250808003326
Address ID
TN370406891CL2237XWXXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

10,728 NURSE PRACTITIONER in TN

Provider Addresses for IRENE KANAABI

  • 280 COBBLESTONE LNDG

    MOUNT JULIET, TN 371227470

    Phone:

    Mailing address matches the actual address.

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: 2025-08-08

PECOS data refreshed: 2026-06-15

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
I20250808003326INurse PractitionerTNTBD

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 37122)

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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: 0941683593View full group profile
NameSpecialtyState
Nurse PractitionerTN
Nurse PractitionerAL
Nurse PractitionerKY
Family PracticeTN
Internal MedicineAL
Nurse PractitionerTN
Nurse PractitionerTN
Mental Health CounselorTN
Nurse PractitionerTN
Internal MedicineTN

Reviews

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Frequently asked questions

How is IRENE KANAABI identified in CMS data?
CMS-hosted NPPES data lists IRENE KANAABI with NPI 1760111934.
Does the file indicate IRENE KANAABI is practicing under active NPI?
Directory data currently reports IRENE KANAABI as active.
What taxonomy line describes IRENE KANAABI?
For research purposes, treat IRENE KANAABI as Primary Care Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where is IRENE KANAABI based?
IRENE KANAABI is tied to Mount Juliet, Tennessee in the data we show; additional addresses may exist on the full record.
Why does IRENE KANAABI have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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