PATRICIA BUZOMBO – Family Nurse Practitioner, NPI 1528779550

PATRICIA BUZOMBO is a healthcare provider. based in Conroe, Texas. specializing in NURSE PRACTITIONER. They hold a License No. 1100722 (TX). The NPI Number for PATRICIA BUZOMBO is 1528779550

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
PATRICIA BUZOMBO
NPI
1528779550
Phone
(346) 260-5112
Address
1006 Windsor Lakes Blvd Ste 150
Enumeration Date
12 December 2022
Last Update Date
9 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3462605112
Graduation Year
2022 (4 years ago)
PAC ID
6103264593
Group Practice PAC ID
4688059173
Professional Enrollment ID
I20240404000685
Address ID
TX770655643JE20320FWYX303
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 PATRICIA BUZOMBO

  • 1006 Windsor Lakes Blvd Ste 150

    Conroe, TX 773844975

    Phone: (346) 260-5112

    Fax: (832) 376-7541

    Type: Location

  • 20320 NORTHWEST FWY STE 400

    JERSEY VILLAGE, TX 770655643

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $1,898.

Total Amount is formed as General ($1,898) + Research ($0) + Ownership ($0) = $1,898.

Last reported payment date: 2024-09-04 • Largest payer in this snapshot: Saluda Medical Americas, Inc. ($1,876).

Total Amount

$1,898

General + Research + Ownership

Payments

11

Total payment records

General Amount

$1,898

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

View all Open Payments →|Open Payments Risk Radar →

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: 2024-04-04

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240404000685INurse PractitionerTXTBD

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 77384)

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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: 4688059173View full group profile
NameSpecialtyState
Pain Management, AnesthesiologyTX
Physical Medicine And RehabilitationTX
Physical Medicine And RehabilitationNY

Reviews

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Frequently asked questions

Can I cross-check PATRICIA BUZOMBO using NPI 1528779550?
NPI 1528779550 belongs to PATRICIA BUZOMBO; compare other details if you need extra assurance.
Is there an active status for PATRICIA BUZOMBO?
For scheduling context, PATRICIA BUZOMBO is shown as active in the registry.
What clinical focus is listed for PATRICIA BUZOMBO?
At a glance, PATRICIA BUZOMBO is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is PATRICIA BUZOMBO located near Conroe?
PATRICIA BUZOMBO currently maps to Conroe, Texas in this extract.
When was this NPI issued?
Enumeration for PATRICIA BUZOMBO is noted as December 12, 2022 where the registry provides it.

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