ATEMNKENG FONKEM DIBAKI (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1750758512
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for ATEMNKENG FONKEM DIBAKI (PMHNP-BC)
5002 CHARISMA DR
MIDLOTHIAN, TX 760658843
Phone: (469) 612-2044
Type: Mailing
6017 REEF POINT LN STE 135
FORT WORTH, TX 761357006
Phone: (972) 972-4767
Fax: (972) 972-4737
Type: Location
318 W BELT LINE RD
CEDAR HILL, TX 751041104
Phone: (972) 972-4767
Type: Mailing
318 W BELT LINE RD STE 304
CEDAR HILL, TX 751041103
Phone: (972) 972-4767
Fax: (972) 972-4737
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 177 Open Payments records for all available years, with a total value of $3,502.
Total Amount is formed as General ($3,502) + Research ($0) + Ownership ($0) = $3,502.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($975).
Total Amount
$3,502
General + Research + Ownership
Payments
177
Total payment records
General Amount
$3,502
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2017-02-03
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 |
|---|---|---|---|---|
| I20170203001555 | 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 | 43 | 24 | $0 |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 25 | 14 | $0 |
Insurance plans in this area (ZIP 76065)
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