VICTORINE TEBONG (FNP-C) – Family Nurse Practitioner, NPI 1093344400
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for VICTORINE TEBONG (FNP-C)
5928 SUMMERWOOD DR
GRAND PRAIRIE, TX 750520436
Phone: (972) 269-3900
Type: Mailing
2815 S Hampton Rd
Dallas, TX 752242329
Phone: (214) 330-0137
Fax: (214) 333-7343
Type: Location
9991 Marsh Ln Ste 100
Dallas, TX 752201763
Phone: (214) 526-6851
Type: Location
4801 S Cooper St Ste 401
Arlington, TX 760175963
Phone: (817) 813-7100
Fax: (817) 382-5458
Type: Location
1213 E Trinity Mills Rd Ste 173
Carrollton, TX 750061446
Phone: (972) 962-1296
Fax: (469) 340-4129
Type: Location
PO BOX 746079
ATLANTA, GA 303746079
Phone: (312) 733-9730
Fax: (773) 866-8014
Type: Mailing
8840 BENBROOK BLVD STE 101
BENBROOK, TX 761262173
Phone: (817) 813-7101
Fax: (817) 382-5458
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: 2020-10-08
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 |
|---|---|---|---|---|
| I20201008002562 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 31 | 28 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 19 | 19 | $0 |
Insurance plans in this area (ZIP 75052)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX |
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