EDITH KANYONGO (RN, MSN, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1114357571
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for EDITH KANYONGO (RN, MSN, PMHNP-BC)
1380 RIVER BEND DR
DALLAS, TX 752474914
Phone: (214) 743-6159
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)
CMS reports 8 Open Payments records for all available years, with a total value of $217.
Total Amount is formed as General ($217) + Research ($0) + Ownership ($0) = $217.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($109).
Total Amount
$217
General + Research + Ownership
Payments
8
Total payment records
General Amount
$217
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Axsome Therapeutics, Inc. | $109 |
| ABBVIE INC. | $74 |
| Otsuka America Pharmaceutical, Inc. | $19 |
| E.R. Squibb & Sons, L.L.C. | $14 |
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: 2014-04-14
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 |
|---|---|---|---|---|
| I20140414001893 | 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 |
|---|---|---|---|---|
| Q3014 | Telehealth originating site facility fee | 104 | 44 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 101 | 43 | $0 |
Insurance plans in this area (ZIP 75247)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | TX | 90792 | Psychiatric diagnostic evaluation with medical services | 13 | 13 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | TX | |
| Mental Health Counselor | TX | |
| P S Y C H I A T R Y | AZ | |
| Nurse Practitioner | TX | |
| P S Y C H I A T R Y | MO | |
| Physician Assistant | TX | |
| Nurse Practitioner | TX | |
| Mental Health Counselor | TX | |
| Mental Health Counselor | TX | |
| Mental Health Counselor | TX |
Reviews
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