SIMINIBE MONEKE (NURSE PRACTITIONER) – Family Nurse Practitioner, NPI 1861902934

SIMINIBE MONEKE (NURSE PRACTITIONER) is a healthcare provider. based in Desoto, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials NURSE PRACTITIONER. They hold a License No. AP135271 (TX). The NPI Number for SIMINIBE MONEKE (NURSE PRACTITIONER) is 1861902934

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
SIMINIBE MONEKE (NURSE PRACTITIONER)
NPI
1861902934
Phone
(469) 941-4029
Address
111 EXECUTIVE WAY STE 102
Enumeration Date
3 October 2017
Last Update Date
20 February 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6824051934
Graduation Year
2017 (9 years ago)
PAC ID
0446526297
Group Practice PAC ID
3779924048
Professional Enrollment ID
I20171023000210
Address ID
TX751152388DE1534XRDXX501
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

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Provider Addresses for SIMINIBE MONEKE (NURSE PRACTITIONER)

  • 102, Executive Way, DeSoto, Dallas County, Texas, 75115, United States

    DESOTO, TX 751152388

    Phone: (469) 941-4029

    Fax: (866) 803-8759

    Mailing address matches the actual address.

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: 2017-10-23

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
I20171023000210INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J7329Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg12,12594$0
96138Administration of psychological or neuropsychological test by technician, first 30 minutes9,60898$0
J7320Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg5,27546$0
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml1,838125$0
J1100Injection, dexamethasone sodium phosphate, 1 mg935113$0
View full utilization report →

Insurance plans in this area (ZIP 75115)

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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: 3779924048View full group profile
NameSpecialtyState
C H I R O P R A C T I CTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What is SIMINIBE MONEKE (NURSE PRACTITIONER)'s NPI number?
SIMINIBE MONEKE (NURSE PRACTITIONER)'s NPI is 1861902934 — the number used across U.S. healthcare to identify this provider.
Is there an active status for SIMINIBE MONEKE (NURSE PRACTITIONER)?
For scheduling context, SIMINIBE MONEKE (NURSE PRACTITIONER) is shown as active in the registry.
What expertise is attributed to SIMINIBE MONEKE (NURSE PRACTITIONER)?
SIMINIBE MONEKE (NURSE PRACTITIONER)'s specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for SIMINIBE MONEKE (NURSE PRACTITIONER)?
Travel planning: use Desoto, Texas as the reference point for SIMINIBE MONEKE (NURSE PRACTITIONER), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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