ELISHA OMARI NYABOGA – Family Nurse Practitioner, NPI 1033005806

ELISHA OMARI NYABOGA is a healthcare provider. based in Cypress, Texas. specializing in NURSE PRACTITIONER. They hold a License No. 1098723 (TX). The NPI Number for ELISHA OMARI NYABOGA is 1033005806

Main info

Male
1 Year Of Experience
Name
ELISHA OMARI NYABOGA
NPI
1033005806
Phone
(346) 498-5244
Address
21407 PESCADO DR
Enumeration Date
17 June 2025
Last Update Date
17 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2025 (1 year ago)
PAC ID
2466931886
Professional Enrollment ID
I20260205004365
Address ID
TX752444910DA4055XLNXX405
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for ELISHA OMARI NYABOGA

  • 21407 PESCADO DR

    CYPRESS, TX 774333259

    Phone: (346) 498-5244

    Type: Mailing

  • 16401 1ST ST

    SPLENDORA, TX 773724026

    Phone: (281) 968-4096

    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: 2026-02-05

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
I20260205004365INurse 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 77433)

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Reviews

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Frequently asked questions

Can I cross-check ELISHA OMARI NYABOGA using NPI 1033005806?
NPI 1033005806 belongs to ELISHA OMARI NYABOGA; compare other details if you need extra assurance.
Is ELISHA OMARI NYABOGA still an active registrant?
ELISHA OMARI NYABOGA carries an active NPI according to the public dataset.
What clinical focus is listed for ELISHA OMARI NYABOGA?
At a glance, ELISHA OMARI NYABOGA is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Texas is ELISHA OMARI NYABOGA registered?
Use Cypress, Texas as the headline location for ELISHA OMARI NYABOGA here.
When was this NPI issued?
Enumeration for ELISHA OMARI NYABOGA is noted as June 17, 2025 where the registry provides it.

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