EDNA KIMANGA (NP) – Family Nurse Practitioner, NPI 1245638212

EDNA KIMANGA (NP) is a healthcare provider. based in Frisco, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. AP126542 (TX). The NPI Number for EDNA KIMANGA (NP) is 1245638212

Main info

Female
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
EDNA KIMANGA (NP)
NPI
1245638212
Phone
(214) 417-1187
Address
11825 FOXWOOD LN
Enumeration Date
8 December 2014
Last Update Date
8 December 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3619934835
Graduation Year
2014 (12 years ago)
PAC ID
8628397056
Group Practice PAC ID
9537554456
Professional Enrollment ID
I20150506000159
Address ID
TX784114300CO4444XDRXX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for EDNA KIMANGA (NP)

  • 11825 FOXWOOD LN

    FRISCO, TX 750350030

    Phone: (214) 417-1187

    Type: Mailing

  • 5228 W PLANO PKWY

    PLANO, TX 750935005

    Phone: (972) 250-5700

    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: 2015-05-06

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
I20150506000159INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75035)

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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: 9537554456View full group profile
NameSpecialtyState
Nurse PractitionerTX
P S Y C H I A T R YTX

Reviews

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Frequently asked questions

What is the 10-digit NPI for EDNA KIMANGA (NP)?
EDNA KIMANGA (NP) — NPI 1245638212 — is the standard way to identify this listing.
Does CMS list EDNA KIMANGA (NP) as active?
Yes — EDNA KIMANGA (NP) is active in the NPI listing used on this page.
What is EDNA KIMANGA (NP) best known for clinically?
Directory data describes EDNA KIMANGA (NP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for EDNA KIMANGA (NP)?
EDNA KIMANGA (NP)'s geographic hint is Frisco, Texas in our summary view.
Is the information about EDNA KIMANGA (NP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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