NICOLINA EGYDIA MBOYA (FNP-BC) – Family Nurse Practitioner, NPI 1245705383
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 NICOLINA EGYDIA MBOYA (FNP-BC)
1305 Airport Fwy Ste 302
Bedford, TX 76021
Phone: (817) 283-6995
Fax: (817) 952-7011
Type: Location
Airport Freeway, Bedford, Tarrant County, Texas, 76022-5841, United States
BEDFORD, TX 76021
Phone: (817) 283-6995
Fax: (817) 952-7011
Type: Location
Lackland Road, Fort Worth, Tarrant County, Texas, 76116, United States
FORT WORTH, TX 761164109
Phone: (817) 886-8890
Fax: (817) 886-8891
Type: Mailing
1050 W ARKANSAS LN
ARLINGTON, TX 760136308
Phone: (817) 702-1100
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $172.
Total Amount is formed as General ($172) + Research ($0) + Ownership ($0) = $172.
Last reported payment date: 2024-09-27 • Largest payer in this snapshot: Abbott Laboratories ($44).
Total Amount
$172
General + Research + Ownership
Payments
9
Total payment records
General Amount
$172
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $44 |
| SCILEX PHARMACEUTICALS INC. | $43 |
| Lilly USA, LLC | $36 |
| Exact Sciences Corporation | $19 |
| Organon LLC | $18 |
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: 2019-03-07
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190307000443 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 73 | 42 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 14 | 11 | $0 |
Insurance plans in this area (ZIP 76021)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Osteopathic Manipulative Medicine, Family Practice | TX |
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