DR. MICHAEL IDEMUDIA (DNP, APRN, FNP-C) – Family Nurse Practitioner, NPI 1306391396

DR. MICHAEL IDEMUDIA (DNP, APRN, FNP-C) is a healthcare provider. based in Farmers branch, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP, APRN, FNP-C. They hold a License No. F0616821 (TX). The NPI Number for DR. MICHAEL IDEMUDIA (DNP, APRN, FNP-C) is 1306391396

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL IDEMUDIA (DNP, APRN, FNP-C)
NPI
1306391396
Phone
(972) 243-3650
Address
2735 VILLA CREEK DR
Enumeration Date
18 August 2016
Last Update Date
18 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9725631475
Graduation Year
2016 (10 years ago)
PAC ID
3577844729
Group Practice PAC ID
6507137395
Professional Enrollment ID
I20161229001283
Address ID
TX751603004TE904XXBXXX501
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

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Provider Addresses for DR. MICHAEL IDEMUDIA (DNP, APRN, FNP-C)

  • 2735, Villa Creek Drive, Farmers Branch, Dallas County, Texas, 75234, United States

    FARMERS BRANCH, TX 752347454

    Phone: (972) 243-3650

    Type: Mailing

  • 904 W MOORE AVE STE B

    TERRELL, TX 751603004

    Phone: (972) 563-1475

    Fax: (972) 524-5132

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $46.

Total Amount is formed as General ($46) + Research ($0) + Ownership ($0) = $46.

Last reported payment date: 2024-04-25 • Largest payer in this snapshot: ABBVIE INC. ($27).

Total Amount

$46

General + Research + Ownership

Payments

2

Total payment records

General Amount

$46

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-25

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2016-12-29

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
I20161229001283INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99458Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes1,04969$0
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes78297$0
99457Management using the results of remote vital sign monitoring per calendar month, first 20 minutes59369$0
99454Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days59271$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month41590$0
View full utilization report →

Insurance plans in this area (ZIP 75234)

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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: 6507137395View full group profile
NameSpecialtyState
Nurse PractitionerTX

Reviews

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Frequently asked questions

How do payers reference DR. MICHAEL IDEMUDIA (DNP, APRN, FNP-C)?
For DR. MICHAEL IDEMUDIA (DNP, APRN, FNP-C), use NPI 1306391396 as the unique 10-digit identifier.
Is DR. MICHAEL IDEMUDIA (DNP, APRN, FNP-C) still an active registrant?
DR. MICHAEL IDEMUDIA (DNP, APRN, FNP-C) carries an active NPI according to the public dataset.
What clinical focus is listed for DR. MICHAEL IDEMUDIA (DNP, APRN, FNP-C)?
At a glance, DR. MICHAEL IDEMUDIA (DNP, APRN, FNP-C) is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is DR. MICHAEL IDEMUDIA (DNP, APRN, FNP-C) located near Farmers Branch?
DR. MICHAEL IDEMUDIA (DNP, APRN, FNP-C) currently maps to Farmers Branch, Texas in this extract.
Does DR. MICHAEL IDEMUDIA (DNP, APRN, FNP-C) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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