EBRIMA BANGURA – Psychiatric/Mental Health Nurse Practitioner, NPI 1093246928

EBRIMA BANGURA is a healthcare provider. based in Edmonds, Washington. specializing in NURSE PRACTITIONER. They hold a License No. RN00173217 (WA). The NPI Number for EBRIMA BANGURA is 1093246928

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
EBRIMA BANGURA
NPI
1093246928
Phone
(206) 769-1425
Address
8123 236TH ST SW
Enumeration Date
22 March 2017
Last Update Date
13 May 2017

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
3603655300
Graduation Year
2017 (9 years ago)
PAC ID
6103197520
Group Practice PAC ID
1153231857
Professional Enrollment ID
I20170822001735
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:9State licenses:2Digital endpointsOther names

6,261 NURSE PRACTITIONER in WA

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Provider Addresses for EBRIMA BANGURA

  • 8123, 236th Street Southwest, Firdale, Edmonds, Snohomish County, Washington, 98026, United States

    APT N302

    EDMONDS, WA 980269207

    Phone: (206) 769-1425

    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)

CMS reports 1 Open Payments records for all available years, with a total value of $90.

Total Amount is formed as General ($90) + Research ($0) + Ownership ($0) = $90.

Last reported payment date: 2023-03-15 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($90).

Total Amount

$90

General + Research + Ownership

Payments

1

Total payment records

General Amount

$90

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-15

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: 2017-08-22

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
I20170822001735INurse PractitionerWATBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes32367$0
99239Hospital discharge day management, more than 30 minutes2524$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 98026)

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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: 1153231857View full group profile
NameSpecialtyState
Nurse PractitionerWA
-WA
Nurse PractitionerTX
Nurse PractitionerWA
Nurse PractitionerWA
Nurse PractitionerWA
Psychiatry, Addiction MedicineWA
Psychiatry, Geriatric PsychiatryWA
Nurse PractitionerWA
Nurse PractitionerWA

Reviews

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Frequently asked questions

Is there an official ID for EBRIMA BANGURA in U.S. healthcare records?
The official identifier for EBRIMA BANGURA is NPI 1093246928.
Would EBRIMA BANGURA appear as active to a payer?
You can treat EBRIMA BANGURA as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is EBRIMA BANGURA?
EBRIMA BANGURA is associated with Psychiatric/Mental Health Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for EBRIMA BANGURA?
Travel planning: use Edmonds, Washington as the reference point for EBRIMA BANGURA, then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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