PROMISE A ITEINJOH (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1134880958
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,209 NURSE PRACTITIONER in TX
Provider Addresses for PROMISE A ITEINJOH (PMHNP-BC)
3555 KNICKERBOCKER RD
SAN ANGELO, TX 769047610
Phone: (325) 747-2225
Type: Location
4122 GUILD MEADOWS DR
HOUSTON, TX 770847681
Phone: (713) 291-8567
Type: Mailing
250 S TOOLE AVE
TUCSON, AZ 857011814
Phone: (520) 323-1312
Type: Location
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 $134.
Total Amount is formed as General ($134) + Research ($0) + Ownership ($0) = $134.
Last reported payment date: 2023-06-27 • Largest payer in this snapshot: Lundbeck LLC ($60).
Total Amount
$134
General + Research + Ownership
Payments
7
Total payment records
General Amount
$134
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lundbeck LLC | $60 |
| Neurocrine BioSciences, Inc. | $23 |
| Otsuka America Pharmaceutical, Inc. | $20 |
| ABBVIE INC. | $18 |
| ITI, Inc. | $13 |
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: 2023-10-09
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 |
|---|---|---|---|---|
| I20231009001096 | I | Nurse Practitioner | AZ | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 77 | 39 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 23 | 23 | $0 |
Insurance plans in this area (ZIP 76904)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AZ | |
| Nurse Practitioner | AZ | |
| P S Y C H I A T R Y | AZ | |
| Physician Assistant | AZ | |
| Nurse Practitioner | AZ | |
| Nurse Practitioner | AZ | |
| Nurse Practitioner | NV | |
| Nurse Practitioner | NH | |
| Nurse Practitioner | AZ | |
| Physician Assistant | AZ |
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