MRS. MABLE PANKAJ (AGNP & WHNP) – Primary Care Nurse Practitioner, NPI 1639592926
Primary Care 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. MABLE PANKAJ (AGNP & WHNP)
5927 RIDGEWAY DR
GRAND PRAIRIE, TX 750520444
Phone: (817) 466-9890
Type: Mailing
3132 MATLOCK RD STE 301
ARLINGTON, TX 760152922
Phone: (817) 465-6900
Type: Location
1534 N HAMPTON RD STE 100
DESOTO, TX 751152493
Phone: (682) 405-1934
Fax: (866) 803-8759
Type: Mailing
420 N HIGHWAY 67 STE D1
CEDAR HILL, TX 751046069
Phone: (972) 291-7181
Fax: (972) 291-0687
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $194.
Total Amount is formed as General ($194) + Research ($0) + Ownership ($0) = $194.
Last reported payment date: 2024-07-09 • Largest payer in this snapshot: ATRICURE, INC. ($194).
Total Amount
$194
General + Research + Ownership
Payments
6
Total payment records
General Amount
$194
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ATRICURE, INC. | $194 |
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: 2020-08-05
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 |
|---|---|---|---|---|
| I20200805002150 | 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 75052)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| C H I R O P R A C T I C | TX | |
| Nurse Practitioner | TX |
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