ADAOBI MOEMENAM (NP) – Family Nurse Practitioner, NPI 1487044897
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for ADAOBI MOEMENAM (NP)
2006 FALL CREEK HWY
GRANBURY, TX 760497913
Phone: (817) 326-3440
Type: Location
22620 OCEAN AVE
#15
TORRANCE, CA 905053647
Phone: (310) 800-8445
Type: Location
855 MONTGOMERY ST
FORT WORTH, TX 761072553
Phone: (817) 735-2000
Fax: (817) 735-7780
Type: Mailing
14821 BRETTRIDGE DR
ALEDO, TX 760081437
Phone: (310) 800-8445
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $190.
Total Amount is formed as General ($190) + Research ($0) + Ownership ($0) = $190.
Last reported payment date: 2024-11-08 • Largest payer in this snapshot: Exact Sciences Corporation ($67).
Total Amount
$190
General + Research + Ownership
Payments
9
Total payment records
General Amount
$190
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Exact Sciences Corporation | $67 |
| AstraZeneca Pharmaceuticals LP | $42 |
| Novo Nordisk Inc | $41 |
| ALK-Abello, Inc | $24 |
| Lilly USA, LLC | $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: 2024-05-17
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160721002431 | I | Nurse Practitioner | TX | TBD |
| I20240517000952 | I | Nurse Practitioner | AZ | 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 76049)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX |
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