MRS. TARESA FENELON (NP-C) – Family Nurse Practitioner, NPI 1063939403
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,209 NURSE PRACTITIONER in TX
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Provider Addresses for MRS. TARESA FENELON (NP-C)
1003 RICHMOND AVE
HOUSTON, TX 770065419
Phone: (866) 389-2727
Type: Mailing
CVS Pharmacy, 8000, North Sam Houston Parkway East, Humble, Harris County, Texas, 77396, United States
HUMBLE, TX 773962900
Phone: (832) 795-3593
Type: Location
11741, Jelicoe Drive, City Park, Houston, Harris County, Texas, 77047, United States
HOUSTON, TX 770473521
Phone: (214) 714-4520
Type: Mailing
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 $564.
Total Amount is formed as General ($564) + Research ($0) + Ownership ($0) = $564.
Last reported payment date: 2024-09-29 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($239).
Total Amount
$564
General + Research + Ownership
Payments
7
Total payment records
General Amount
$564
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $239 |
| Mylan Specialty L.P. | $124 |
| Abbott Laboratories | $105 |
| Novo Nordisk Inc | $96 |
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: 2017-09-28
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170928002457 | I | Nurse Practitioner | TX | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 77006)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| - | TX | |
| - | TX | |
| Nurse Practitioner | TX | |
| Family Practice | TX | |
| - | TX | |
| Family Practice | CA | |
| Physician Assistant | NY | |
| - | TX | |
| - | TX |
Reviews
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