CHANELLE INJEH KUNSEH FOMBO (NP) – Acute Care Nurse Practitioner, NPI 1851968614
Acute Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,728 NURSE PRACTITIONER in TN
Provider Addresses for CHANELLE INJEH KUNSEH FOMBO (NP)
1 Medical Center Blvd
Cookeville, TN 385014294
Phone: (938) 528-2541
Type: Location
400 Sentara Cir Ste 201A
Williamsburg, VA 231885716
Phone: (757) 984-3975
Type: Location
2929 WYCLIFF AVE APT 2319
DALLAS, TX 752196652
Phone: (513) 479-6240
Type: Mailing
1 MEDICAL CENTER BLVD
COOKEVILLE, TN 385014294
Phone: (938) 528-2541
Type: Location
501 AIR PARK AVE
GREENVILLE, TX 754023000
Phone: (903) 408-5834
Fax: (903) 408-5693
Type: Mailing
4215 JOE RAMSEY BLVD E
GREENVILLE, TX 754017852
Phone: (903) 408-5000
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: 2024-08-06
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20220623003002 | I | Nurse Practitioner | TX | TBD |
| I20240806000774 | I | Nurse Practitioner | VA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 33 | 14 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 30 | 30 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 18 | 18 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 38501)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Internal Medicine, Pulmonary Disease, Critical Care (Intensivists) | IA | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | NY | |
| Nurse Practitioner | TX | |
| Pulmonary Disease | AL | |
| Nurse Practitioner | TX |
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