IJEJE ETENG ENO (APRN) – Family Nurse Practitioner, NPI 1073091260

IJEJE ETENG ENO (APRN) is a healthcare provider. based in Dallas, Texas. specializing in Family Nurse Practitioner. They hold the professional credentials APRN. They hold a License No. AP138145 (TX). The NPI Number for IJEJE ETENG ENO (APRN) is 1073091260

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
IJEJE ETENG ENO (APRN)
NPI
1073091260
Phone
(214) 348-7611
Address
5440 HARVEST HILL RD STE 182B
Enumeration Date
31 July 2018
Last Update Date
31 July 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9724840040
Graduation Year
2018 (8 years ago)
PAC ID
2163772450
Group Practice PAC ID
4981600970
Professional Enrollment ID
I20180907000260
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

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Provider Addresses for IJEJE ETENG ENO (APRN)

  • Harvest Hill Road, Dallas, Dallas County, Texas, 75230, United States

    DALLAS, TX 752301607

    Phone: (214) 348-7611

    Fax: (214) 348-0129

    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: 2018-09-07

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
I20180907000260INurse 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 minutes1,74389$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes21844$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes13770$0
99316Nursing facility discharge management, more than 30 minutes3433$0
View full utilization report →

Insurance plans in this area (ZIP 75230)

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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: 4981600970View full group profile
NameSpecialtyState
-TX
Nurse PractitionerTX
Internal Medicine, Geriatric MedicineTX
Nurse PractitionerTN
Nurse PractitionerMD
Nurse PractitionerTX
Nurse PractitionerTX
Pulmonary Disease, Internal MedicineTX

Reviews

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Frequently asked questions

Is there an official ID for IJEJE ETENG ENO (APRN) in U.S. healthcare records?
The official identifier for IJEJE ETENG ENO (APRN) is NPI 1073091260.
Is IJEJE ETENG ENO (APRN) still an active registrant?
IJEJE ETENG ENO (APRN) carries an active NPI according to the public dataset.
What clinical focus is listed for IJEJE ETENG ENO (APRN)?
At a glance, IJEJE ETENG ENO (APRN) is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is IJEJE ETENG ENO (APRN) located near Dallas?
IJEJE ETENG ENO (APRN) currently maps to Dallas, Texas in this extract.
Does IJEJE ETENG ENO (APRN) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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