BOUHLI DAISY KUMNJI NDANGO (APRN, PMHP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1578453775

BOUHLI DAISY KUMNJI NDANGO (APRN, PMHP-BC) is a healthcare provider. based in Sullivan city, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, PMHP-BC. They hold a License No. 950609 (TX). The NPI Number for BOUHLI DAISY KUMNJI NDANGO (APRN, PMHP-BC) is 1578453775

Main info

Female
Sole Proprietor
1 Year Of Experience
Accepts Medicare Assignment
Name
BOUHLI DAISY KUMNJI NDANGO (APRN, PMHP-BC)
NPI
1578453775
Phone
(956) 627-4874
Address
104 E Expressway 83 Ste 3
Enumeration Date
8 July 2025
Last Update Date
18 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9566274874
Graduation Year
2025 (1 year ago)
PAC ID
0749781946
Group Practice PAC ID
9931599164
Professional Enrollment ID
I20250828005365
Address ID
TX785011453MC909XXAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for BOUHLI DAISY KUMNJI NDANGO (APRN, PMHP-BC)

  • 104 E Expressway 83 Ste 3

    Sullivan City, TX 785952080

    Phone: (956) 627-4874

    Fax: (956) 329-2931

    Type: Location

  • PO BOX 537

    PHARR, TX 785771609

    Phone: (956) 627-4874

    Fax: (956) 329-2931

    Type: Mailing

  • 909 E ESPERANZA AVE STE B

    MCALLEN, TX 785011453

    Phone: (956) 627-4874

    Fax: (956) 329-2931

    Type: Location

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: 2025-08-28

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
I20250828005365INurse 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 78595)

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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: 9931599164View full group profile
NameSpecialtyState
Nurse PractitionerTX

Reviews

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Frequently asked questions

Can I cross-check BOUHLI DAISY KUMNJI NDANGO (APRN, PMHP-BC) using NPI 1578453775?
NPI 1578453775 belongs to BOUHLI DAISY KUMNJI NDANGO (APRN, PMHP-BC); compare other details if you need extra assurance.
Is there an active status for BOUHLI DAISY KUMNJI NDANGO (APRN, PMHP-BC)?
For scheduling context, BOUHLI DAISY KUMNJI NDANGO (APRN, PMHP-BC) is shown as active in the registry.
What area of care is associated with BOUHLI DAISY KUMNJI NDANGO (APRN, PMHP-BC)?
BOUHLI DAISY KUMNJI NDANGO (APRN, PMHP-BC)'s record emphasizes Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Texas is BOUHLI DAISY KUMNJI NDANGO (APRN, PMHP-BC) registered?
Use Sullivan City, Texas as the headline location for BOUHLI DAISY KUMNJI NDANGO (APRN, PMHP-BC) here.
When was this NPI issued?
Enumeration for BOUHLI DAISY KUMNJI NDANGO (APRN, PMHP-BC) is noted as July 8, 2025 where the registry provides it.

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