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

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: October 25, 2026.

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
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

Accepted Insurance

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

4

Medicare enrollment records show Edith Kanyongo reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Prescribing (Medical)
8200 WALNUT HILL LN
Dallas, TX 75231
  • Reassigned Medicare billing, Texas enrollment
  • 89 clinicians in this Medicare group
Psychiatry
7214 HIGHWAY 78 STE 20
Sachse, TX 75048
  • Reassigned Medicare billing, Texas enrollment
  • 2 clinicians in this Medicare group
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1738 ELLIOT DR
Canton, TX 75103
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Andrews Center
  • 71 clinicians in this Medicare group
Psychiatry
2001 S MEDFORD DR
Lufkin, TX 75901
  • Reassigned Medicare billing, Texas enrollment
  • 150 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.

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.

Community/Behavioral Health
1380 RIVER BEND DR
DALLAS, TX 75247
Speech-Language Pathologist
1380 RIVER BEND DR
DALLAS, TX 75247
Nurse Practitioner (Family)
1380 RIVER BEND DR
DALLAS, TX 75247
Case Manager/Care Coordinator
1380 RIVER BEND DR
DALLAS, TX 75247
Counselor (Professional)
1380 RIVER BEND DR
DALLAS, TX 75247
Behavior Analyst
1380 RIVER BEND DR
DALLAS, TX 75247
Social Worker
1380 RIVER BEND DR
DALLAS, TX 75247
Counselor (Mental Health)
1380 RIVER BEND DR
DALLAS, TX 75247

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 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.

Where is Edith Kanyongo located?

Edith Kanyongo practices at 1380 River Bend Dr, Dallas, TX 75247. The listed phone number is (214) 743-6159.

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.

Is Edith Kanyongo enrolled in Medicare?

Yes. Edith Kanyongo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Edith Kanyongo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edith Kanyongo reassigns Medicare benefits to 4 organizations: Behavioral Health Of North Texas LLP (Dallas, TX), Texas In Harmony Psychiatric Group LLC (Sachse, TX), Andrews Center - Elliott St (Canton, TX) and Burke Center (Lufkin, 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 Edith Kanyongo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edith Kanyongo accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Cigna Healthcare, Molina Healthcare and UnitedHealthcare and 1 other insurer list Edith Kanyongo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.