MELANIE D FOMBANG – Primary Care Nurse Practitioner, NPI 1447779590
Primary Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MELANIE D FOMBANG
7214 FOXBROOK DR
HUMBLE, TX 773381440
Phone: (713) 494-0016
Type: Mailing
9950, Memorial Boulevard, Humble, Harris County, Texas, 77338, United States
HUMBLE, TX 773384281
Phone: (281) 446-6803
Type: Location
108 S. WILLIAM BARNETT AVE.
CLEVELAND, TX 77327
Phone: (281) 592-9775
Fax: (281) 592-1570
Type: Mailing
8484 WILL CLAYTON PKWY
HUMBLE, TX 77338
Phone: (832) 995-5200
Fax: (832) 995-5219
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $226.
Total Amount is formed as General ($226) + Research ($0) + Ownership ($0) = $226.
Last reported payment date: 2024-09-04 • Largest payer in this snapshot: Lilly USA, LLC ($45).
Total Amount
$226
General + Research + Ownership
Payments
12
Total payment records
General Amount
$226
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $45 |
| PFIZER INC. | $45 |
| GlaxoSmithKline, LLC. | $39 |
| ABBVIE INC. | $37 |
| Amgen Inc. | $17 |
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: 2019-01-02
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 |
|---|---|---|---|---|
| I20190102000734 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 77338)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IL | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| - | TX | |
| Family Practice | TX | |
| Family Practice | TX | |
| - | TX | |
| Family Practice | TX | |
| Nurse Practitioner | TX | |
| Physician Assistant | TX |
Reviews
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