EDITH KANYONGO RN, MSN, PMHNP-BC
NPI 1114357571
Nurse Practitioner - Psychiatric/Mental Health in Dallas, TX

Q: What is Edith Kanyongo's NPI number?

The NPI number for Edith Kanyongo is 1114357571. It was assigned to this individual provider in the NPPES registry on November 22, 2013.

Q: What is Edith Kanyongo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Edith Kanyongo was last updated on November 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.

Active since November 22, 2013PECOS EnrolledAccepts Medicare Assignment

1380 RIVER BEND DR, DALLAS, TX 75247(214) 743-6159 Get Directions Write a Review

NPPES record last updated: November 22, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Edith Kanyongo Rn, Msn, Pmhnp-bc NPPES

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

EDITH KANYONGO RN, MSN, PMHNP-BC (NPI 1114357571) is an individual psychiatric/mental health provider in Dallas, Texas, licensed in Texas (742970) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1114357571

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameEDITH KANYONGOCredential: RN, MSN, PMHNP-BC

Location Address1380 RIVER BEND DRDallas, TX 75247-4914

Mailing Address1380 River Bend DrDallas, TX 75247-4914 · (214) 743-6159

Phone(214) 743-6159

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateNovember 22, 2013

✔ NPI 1114357571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in TX · 742970

1380 RIVER BEND DR, Dallas, TX 75247

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Community Health Choice and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Edith Kanyongo Rn, Msn, Pmhnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143452748

PECOS Enrollment IDI20140414001893

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Telehealth originating site facility fee Q3014

The Telehealth originating site facility fee is a charge for the location where you receive your telehealth service, such as a clinic or hospital. It covers costs like equipment use, technical support, and other resources needed to provide a secure, effective telehealth visit.

73 services24 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

69 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75247 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 20

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

DALLAS COUNTY MENTAL HEALTH MENTAL RETARDATION

Community/Behavioral Health