TONY ORAFUNAM (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1457056285

TONY ORAFUNAM (APRN) is a healthcare provider. based in Grand prairie, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 1100702 (TX). The NPI Number for TONY ORAFUNAM (APRN) is 1457056285

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
TONY ORAFUNAM (APRN)
NPI
1457056285
Phone
(972) 974-3000
Address
2603 BAXTER DR
Enumeration Date
3 April 2023
Last Update Date
3 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5168540101
Graduation Year
2022 (4 years ago)
PAC ID
2466806104
Group Practice PAC ID
8628433414
Professional Enrollment ID
I20230928001630
Address ID
NY115508116HE230XXAVEX311
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for TONY ORAFUNAM (APRN)

  • 2603 BAXTER DR

    GRAND PRAIRIE, TX 750527081

    Phone: (972) 974-3000

    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: 2025-01-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20230928001630INurse PractitionerNYTBD
I20241009003024INurse PractitionerTXTBD
I20250106001882INurse PractitionerAZTBD

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 75052)

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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: 8628433414View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What is the registry number for TONY ORAFUNAM (APRN)?
The registry entry for TONY ORAFUNAM (APRN) shows NPI 1457056285.
Is TONY ORAFUNAM (APRN) currently accepting referrals based on NPI status?
Registry metadata lists TONY ORAFUNAM (APRN) as active.
What type of care does TONY ORAFUNAM (APRN) provide?
TONY ORAFUNAM (APRN)'s profile centers on Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to TONY ORAFUNAM (APRN)?
TONY ORAFUNAM (APRN) is associated with Grand Prairie, Texas in the same public data insurers reference.
Why is information missing for TONY ORAFUNAM (APRN)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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