SUJA INDIRA (FNP-C) – Family Nurse Practitioner, NPI 1336954981

SUJA INDIRA (FNP-C) is a healthcare provider. based in Frisco, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 1188820 (TX). The NPI Number for SUJA INDIRA (FNP-C) is 1336954981

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
SUJA INDIRA (FNP-C)
NPI
1336954981
Phone
(901) 651-6155
Address
10036 CONQUISTADOR CT
Enumeration Date
11 February 2025
Last Update Date
11 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2145908006
Graduation Year
2024 (2 years ago)
PAC ID
9931617198
Group Practice PAC ID
8325934813
Professional Enrollment ID
I20250731001928
Address ID
TX752357709DA5200XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for SUJA INDIRA (FNP-C)

  • 10036 CONQUISTADOR CT

    FRISCO, TX 750351384

    Phone: (901) 651-6155

    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)

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: 2025-07-31

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
I20250731001928INurse 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: 8325934813View full group profile
NameSpecialtyState
-TX
-IN
Family PracticeMA
-TX
Certified Registered Nurse Anesthetist (Crna)TX
Nurse PractitionerTX
-TX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What unique ID ties claims to SUJA INDIRA (FNP-C)?
NPI 1336954981 is assigned to SUJA INDIRA (FNP-C) under the national enumeration system.
Is SUJA INDIRA (FNP-C) active in the national directory?
SUJA INDIRA (FNP-C)'s public NPI profile is in an active state.
What kind of provider is SUJA INDIRA (FNP-C)?
The page reflects Family Nurse Practitioner for SUJA INDIRA (FNP-C). Clinical services aligned with this taxonomy classification.
Where does public data place SUJA INDIRA (FNP-C)?
The snapshot lists Frisco, Texas for SUJA INDIRA (FNP-C); download NPPES for the complete set.
Is SUJA INDIRA (FNP-C) a real provider?
This page reflects official NPPES data for NPI 1336954981. Always confirm identity and privileges with the practice and licensing boards.

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