NKECHI RENNETH IDEMUDIA (APRN, MNS, FNP-C) – Family Nurse Practitioner, NPI 1083169973

NKECHI RENNETH IDEMUDIA (APRN, MNS, FNP-C) is a healthcare provider. based in Plano, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, MNS, FNP-C. They hold a License No. F0716146 (TX). The NPI Number for NKECHI RENNETH IDEMUDIA (APRN, MNS, FNP-C) is 1083169973

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
NKECHI RENNETH IDEMUDIA (APRN, MNS, FNP-C)
NPI
1083169973
Phone
(972) 618-3547
Address
2109 W SPRING CREEK PKWY STE 200
Enumeration Date
20 August 2016
Last Update Date
20 April 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9725631475
Graduation Year
2016 (10 years ago)
PAC ID
0648547844
Group Practice PAC ID
6507137395
Professional Enrollment ID
I20170907003156
Address ID
TX751603004TE904XXBXXX501
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

22,209 NURSE PRACTITIONER in TX

Provider Addresses for NKECHI RENNETH IDEMUDIA (APRN, MNS, FNP-C)

  • 2109 W SPRING CREEK PKWY STE 200

    PLANO, TX 750234518

    Phone: (972) 618-3547

    Type: Mailing

  • 2109 W SPRING CREEK PKWY

    PLANO, TX 750234189

    Phone: (972) 618-3547

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $67.

Total Amount is formed as General ($67) + Research ($0) + Ownership ($0) = $67.

Last reported payment date: 2024-04-25 • Largest payer in this snapshot: ABBVIE INC. ($27).

Total Amount

$67

General + Research + Ownership

Payments

3

Total payment records

General Amount

$67

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-25

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2017-09-07

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
I20170907003156INurse 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
99214Established patient office or other outpatient visit, 30-39 minutes13939$0
99213Established patient office or other outpatient visit, 20-29 minutes9727$0
99458Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes6011$0
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes4141$0
99454Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days4014$0
View full utilization report →

Insurance plans in this area (ZIP 75023)

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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: 6507137395View full group profile
NameSpecialtyState
Nurse PractitionerTX

Reviews

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Frequently asked questions

How is NKECHI RENNETH IDEMUDIA (APRN, MNS, FNP-C) identified in CMS data?
CMS-hosted NPPES data lists NKECHI RENNETH IDEMUDIA (APRN, MNS, FNP-C) with NPI 1083169973.
Can I rely on NKECHI RENNETH IDEMUDIA (APRN, MNS, FNP-C) being an active provider?
As of the registry snapshot, NKECHI RENNETH IDEMUDIA (APRN, MNS, FNP-C) is marked active.
What taxonomy line describes NKECHI RENNETH IDEMUDIA (APRN, MNS, FNP-C)?
For research purposes, treat NKECHI RENNETH IDEMUDIA (APRN, MNS, FNP-C) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for NKECHI RENNETH IDEMUDIA (APRN, MNS, FNP-C)?
NKECHI RENNETH IDEMUDIA (APRN, MNS, FNP-C)'s geographic hint is Plano, Texas in our summary view.
Why does NKECHI RENNETH IDEMUDIA (APRN, MNS, FNP-C) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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