MRS. TOCHUKWU TOBY UDEGBUNE (AGPCNP-BC, PMHNP-BC) – Nurse Practitioner, NPI 1467964221
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for MRS. TOCHUKWU TOBY UDEGBUNE (AGPCNP-BC, PMHNP-BC)
9861 SAGINAW BLVD STE 300
FORT WORTH, TX 761795196
Phone: (817) 334-1400
Type: Mailing
2100 N HWY 360 STE 807
GRAND PRAIRIE, TX 750501029
Phone: (972) 859-0206
Type: Mailing
1701 River Run Ste 118
Fort Worth, TX 761076579
Phone: (972) 221-7900
Type: Location
1011 N Cooper St
Arlington, TX 760115517
Phone: (817) 261-3121
Type: Location
2327 N RIVERSIDE DR
FORT WORTH, TX 761112904
Phone: (817) 834-1655
Fax: (817) 834-1659
Type: Mailing
5450 CLEARFORK MAIN ST STE 300
FORT WORTH, TX 761093514
Phone: (817) 334-1400
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $16.
Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.
Last reported payment date: 2023-02-15 • Largest payer in this snapshot: Exact Sciences Corporation ($16).
Total Amount
$16
General + Research + Ownership
Payments
1
Total payment records
General Amount
$16
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-02-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Exact Sciences Corporation | $16 |
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: 2018-04-26
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 |
|---|---|---|---|---|
| I20180426002275 | 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 76179)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | TX | |
| Mental Health Counselor | TX | |
| Mental Health Counselor | UT | |
| Marriage And Family Therapist | TX | |
| Clinical Social Worker | TX | |
| Mental Health Counselor | TX | |
| Clinical Social Worker | TX | |
| Mental Health Counselor | TX | |
| P S Y C H I A T R Y | AR | |
| Nurse Practitioner | TX |
Reviews
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