KINGSLEY EYONG ENOW (NP) – Licensed Practical Nurse, NPI 1477815892
Licensed Practical Nurse
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for KINGSLEY EYONG ENOW (NP)
301 HEATHERBRIDGE LN
301 HEATHERBRIDGE LANE
BLACKLICK, OH 430049275
Phone: (614) 632-1018
Type: Mailing
301 HEATHERBRIDGE LANE
301 HEATHERBRIDGE LANE
BLACKLICK, OH 43004
Phone: (614) 632-1018
Type: Location
3505 E LIVINGSTON AVE STE G
COLUMBUS, OH 432272252
Phone: (614) 715-8216
Fax: (614) 715-8239
Type: Mailing
3121 W BROAD ST
COLUMBUS, OH 432041306
Phone: (614) 869-2002
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 $163.
Total Amount is formed as General ($163) + Research ($0) + Ownership ($0) = $163.
Last reported payment date: 2024-02-09 • Largest payer in this snapshot: ITI, Inc. ($71).
Total Amount
$163
General + Research + Ownership
Payments
6
Total payment records
General Amount
$163
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ITI, Inc. | $71 |
| ABBVIE INC. | $45 |
| Indivior Inc. | $27 |
| Otsuka America Pharmaceutical, Inc. | $20 |
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: 2024-05-03
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 |
|---|---|---|---|---|
| I20240503003589 | I | Nurse Practitioner | OH | 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 43004)
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Reviews
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