LEBAONE LLULU MOGOTSAKGOTLA (AGPCNP-BC) – Adult Health Nurse Practitioner, NPI 1023456134

LEBAONE LLULU MOGOTSAKGOTLA (AGPCNP-BC) is a healthcare provider. based in Houston, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials AGPCNP-BC. They hold a License No. AP123544 (TX). The NPI Number for LEBAONE LLULU MOGOTSAKGOTLA (AGPCNP-BC) is 1023456134

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
LEBAONE LLULU MOGOTSAKGOTLA (AGPCNP-BC)
NPI
1023456134
Phone
(713) 562-8305
Address
2020 BENTWORTH DR APT 440
Enumeration Date
11 June 2013
Last Update Date
28 September 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7134738573
Graduation Year
2012 (14 years ago)
PAC ID
9638305832
Group Practice PAC ID
0941550578
Professional Enrollment ID
I20131118000959
Address ID
TX775022315PA811XXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for LEBAONE LLULU MOGOTSAKGOTLA (AGPCNP-BC)

  • 2020 BENTWORTH DR APT 440

    HOUSTON, TX 770776220

    Phone: (713) 562-8305

    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)

CMS reports 7 Open Payments records for all available years, with a total value of $777.

Total Amount is formed as General ($777) + Research ($0) + Ownership ($0) = $777.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($433).

Total Amount

$777

General + Research + Ownership

Payments

7

Total payment records

General Amount

$777

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2013-11-18

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
I20131118000959INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes46545$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes36935$0
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes2713$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes1711$0
View full utilization report →

Insurance plans in this area (ZIP 77077)

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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: 0941550578View full group profile
NameSpecialtyState
Nurse PractitionerTN
Physician AssistantKS
Nurse PractitionerTN
Nurse PractitionerTN
Nurse PractitionerVA
Clinical PsychologistTN
Nurse PractitionerTN
Nurse PractitionerVA
Nurse PractitionerNC
Nurse PractitionerTN

Reviews

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Frequently asked questions

What is LEBAONE LLULU MOGOTSAKGOTLA (AGPCNP-BC)'s NPI number?
LEBAONE LLULU MOGOTSAKGOTLA (AGPCNP-BC)'s NPI is 1023456134 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to LEBAONE LLULU MOGOTSAKGOTLA (AGPCNP-BC)?
You should see LEBAONE LLULU MOGOTSAKGOTLA (AGPCNP-BC) as active in CMS-hosted NPPES data.
What area of care is associated with LEBAONE LLULU MOGOTSAKGOTLA (AGPCNP-BC)?
LEBAONE LLULU MOGOTSAKGOTLA (AGPCNP-BC)'s record emphasizes Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is LEBAONE LLULU MOGOTSAKGOTLA (AGPCNP-BC) located near Houston?
LEBAONE LLULU MOGOTSAKGOTLA (AGPCNP-BC) currently maps to Houston, Texas in this extract.
Can I trust this NPI listing for LEBAONE LLULU MOGOTSAKGOTLA (AGPCNP-BC)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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