CHARLES EJIOFOR (APN, FNP-C, PMHNP-BC) – Family Nurse Practitioner, NPI 1477951267
Family Nurse Practitioner
Main info
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Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for CHARLES EJIOFOR (APN, FNP-C, PMHNP-BC)
PO BOX 1738
WYLIE, TX 750981738
Phone:
Type: Mailing
PO BOX 1508
WYLIE, TX 750981508
Phone:
Type: Mailing
1380 RIVER BEND DR
DALLAS, TX 752474914
Phone: (214) 743-6146
Type: Location
1380 River Bend Dr
Dallas, TX 752474914
Phone: (214) 743-6146
Type: Location
1350 N WESTMORELAND RD
DALLAS, TX 752111654
Phone: (214) 743-1200
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $56.
Total Amount is formed as General ($56) + Research ($0) + Ownership ($0) = $56.
Last reported payment date: 2024-09-04 • Largest payer in this snapshot: Indivior Inc. ($36).
Total Amount
$56
General + Research + Ownership
Payments
3
Total payment records
General Amount
$56
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 |
|---|---|
| Indivior Inc. | $36 |
| Otsuka America Pharmaceutical, Inc. | $20 |
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: 2015-06-01
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 |
|---|---|---|---|---|
| I20150601000744 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 280 | 94 | $0 |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 182 | 64 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 66 | 66 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 56 | 55 | $0 |
| 90785 | Psychiatric services complicated by communication factor | 35 | 35 | $0 |
Insurance plans in this area (ZIP 75098)
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