ISABELLE NYOTA (NP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1417583030

ISABELLE NYOTA (NP) is a healthcare provider. based in Roanoke, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 828007 (TX). The NPI Number for ISABELLE NYOTA (NP) is 1417583030

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
ISABELLE NYOTA (NP)
NPI
1417583030
Phone
(973) 222-6382
Address
3745 BILL HICKOCK RD APT 1213
Enumeration Date
15 March 2020
Last Update Date
8 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2403843442
Graduation Year
2020 (6 years ago)
PAC ID
7113390055
Group Practice PAC ID
4385682061
Professional Enrollment ID
I20230224000027
Address ID
MD217048344FR5100XPIKE301
Telehealth
Yes

Contacts

Other Endpoint
Desktop
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:6State licenses:3Other namesUpdated within 12 months

22,204 NURSE PRACTITIONER in TX

Provider Addresses for ISABELLE NYOTA (NP)

  • 3745 BILL HICKOCK RD APT 1213

    ROANOKE, TX 762625863

    Phone: (973) 222-6382

    Type: Mailing

  • 6100 HARRIS PKWY

    FORT WORTH, TX 761324101

    Phone: (817) 433-5000

    Type: Location

  • 6100 Harris Pkwy

    Fort Worth, TX 761324101

    Phone: (817) 433-5000

    Type: Location

  • 109 ELLINGWOOD LN

    FREDERICK, MD 217023349

    Phone: (973) 222-6382

    Type: Mailing

  • 5301 BUCKEYSTOWN PIKE

    FREDERICK, MD 217048370

    Phone: (301) 246-0423

    Fax: (949) 655-7796

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $425.

Total Amount is formed as General ($425) + Research ($0) + Ownership ($0) = $425.

Last reported payment date: 2024-10-24 • Largest payer in this snapshot: ABBVIE INC. ($405).

Total Amount

$425

General + Research + Ownership

Payments

21

Total payment records

General Amount

$425

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-24

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$405
Alkermes, Inc.$20
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: 2023-06-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20230224000027INurse PractitionerMDTBD
I20230609000732INurse PractitionerDCTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes6115$0
View full utilization report →

Insurance plans in this area (ZIP 76262)

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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: 4385682061View full group profile

Reviews

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Frequently asked questions

What is ISABELLE NYOTA (NP)'s NPI number?
ISABELLE NYOTA (NP)'s NPI is 1417583030 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to ISABELLE NYOTA (NP)?
You should see ISABELLE NYOTA (NP) as active in CMS-hosted NPPES data.
What area of care is associated with ISABELLE NYOTA (NP)?
ISABELLE NYOTA (NP)'s record emphasizes Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is ISABELLE NYOTA (NP) located near Roanoke?
ISABELLE NYOTA (NP) currently maps to Roanoke, Texas in this extract.
Can I trust this NPI listing for ISABELLE NYOTA (NP)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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