VICTORINE TEBONG FNP-C
NPI 1093344400
Nurse Practitioner - Family in Cedar Hill, TX

Active since April 07, 2020PECOS Enrolled
630 N HIGHWAY 67 STE 5B, CEDAR HILL, TX 75104(972) 408-6653(214) 827-3671 Get Directions Write a Review

NPPES record last updated: June 25, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 1, 2020, Apr 7, 2020 (2 updates tracked since 2020).

About Victorine Tebong Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VICTORINE TEBONG FNP-C (NPI 1093344400) is an individual family provider in Cedar Hill, Texas, licensed in Texas (AP144678) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1093344400
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameVICTORINE TEBONGCredential: FNP-C
Location Address630 N HIGHWAY 67 STE 5BCedar Hill, TX 75104-2156
Mailing Address5928 Summerwood DrGrand Prairie, TX 75052-0436 · (972) 408-6653 · Fax (214) 827-3671
Fax(214) 827-3671
Sole ProprietorNo
Enumeration DateApril 7, 2020
Last NPPES UpdateJune 25, 20262 updates tracked since enumeration
NPPES CertifiedJune 25, 2026
✔ NPI 1093344400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · AP144678
630 N HIGHWAY 67 STE 5B, Cedar Hill, TX 75104

Secondary Practice Locations 5

Location 11213 E Trinity Mills Rd Ste 173Carrollton, TX 75006-1446 · Phone (972) 962-1296 · Fax (469) 340-4129
Location 29991 Marsh Ln Ste 100Dallas, TX 75220-1763 · Phone (214) 526-6851
Location 38840 Benbrook Blvd Ste 101Benbrook, TX 76126-2173 · Phone (817) 813-7101 · Fax (817) 382-5458
Location 44801 S Cooper St Ste 401Arlington, TX 76017-5963 · Phone (817) 813-7100 · Fax (817) 382-5458
Location 52815 S Hampton RdDallas, TX 75224-2329 · Phone (214) 330-0137 · Fax (214) 333-7343

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Victorine Tebong Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Victorine Tebong reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family
630 N HIGHWAY 67
Cedar Hill, TX 75104
  • Reassigned Medicare billing, Texas enrollment
  • 2 clinicians in this Medicare group
Family Medicine
5072 W PLANO PKWY STE 220
Plano, TX 75093
  • Reassigned Medicare billing, Texas enrollment
  • 40 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
630 N HIGHWAY 67 STE 5B
CEDAR HILL, TX 75104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Victorine Tebong's NPI number?

The NPI number for Victorine Tebong is 1093344400. It was assigned to this individual provider in the NPPES registry on April 7, 2020.

Where is Victorine Tebong located?

Victorine Tebong practices at 630 N Highway 67 Ste 5B, Cedar Hill, TX 75104. The listed phone number is (972) 408-6653.

What is Victorine Tebong's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Victorine Tebong enrolled in Medicare?

Yes. Victorine Tebong is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Victorine Tebong's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Victorine Tebong reassigns Medicare benefits to 2 organizations: At Home Primary Care Doctor (Cedar Hill, TX) and Odette Louise Campbell MD PA (Plano, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Victorine Tebong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Victorine Tebong was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.