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MR. COLLINS FOKUM FOMUNUNG FNP
NPI 1124414750
Nurse Practitioner - Family in Matthews, NC

Active since April 10, 2015PECOS Enrolled
1130 SAM NEWELL RD, MATTHEWS, NC 28105(704) 900-7761(833) 948-3597 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Collins Fokum Fomunung Fnp NPPES

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

MR. COLLINS FOKUM FOMUNUNG FNP (NPI 1124414750) is an individual family provider in Matthews, North Carolina, licensed in North Carolina (5007564) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (2014).

NPPES Registry Identity

NPI1124414750
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. COLLINS FOKUM FOMUNUNGCredential: FNP
Location Address1130 SAM NEWELL RDMatthews, NC 28105-5039
Mailing Address1130 Sam Newell RdMatthews, NC 28105-5039 · (704) 900-7761 · Fax (833) 948-3597
Phone(704) 900-7761
Fax(833) 948-3597
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 2014
Enumeration DateApril 10, 2015
Last NPPES UpdateMarch 5, 2026
NPPES CertifiedMarch 5, 2026
✔ NPI 1124414750 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 NC · 5007564
1130 SAM NEWELL RD, Matthews, NC 28105
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Collins Fokum Fomunung Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264701259
PECOS Enrollment IDI20170707000004
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

5

Medicare enrollment records show Collins Fomunung reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mt Zion Medical And Nursing Services, PA
Same address
Family
1130 SAM NEWELL RD STE B
Matthews, NC 28105
  • Reassigned Medicare billing, North Carolina enrollment
  • 5 clinicians in this Medicare group
NPI 1316160641 (704) 900-7761
Eventus Wh Southeast, LLC
8.2 mi
Geriatric Medicine
212 S TYRON ST STE 1000
Charlotte, NC 28281
  • Reassigned Medicare billing, North Carolina enrollment
  • 264 clinicians in this Medicare group
NPI 1487494811 (855) 743-2247
Eventus Wh PLLC Care, LLC
12 mi
Family Medicine
2810 COLISEUM CENTRE DR STE 120
Charlotte, NC 28217
  • Reassigned Medicare billing, North Carolina enrollment
  • 191 clinicians in this Medicare group
NPI 1639990658 (855) 743-2247
Eventus Wholehealth, PLLC
21 mi
Family Medicine
101 CABARRUS AVE E STE 200
Concord, NC 28025
  • Reassigned Medicare billing, North Carolina enrollment
  • 312 clinicians in this Medicare group
NPI 1548759392 (855) 743-2247
Eventus Wh Southeast - South Carolina, LLC
72 mi
Nurse Practitioner
2 OFFICE PARK CT STE 103
Columbia, SC 29223
  • Reassigned Medicare billing, North Carolina enrollment
  • 193 clinicians in this Medicare group
NPI 1790503571 (855) 743-2247

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
201 services124 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
52 services42 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28105 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Breast Cancer Screening
12%67 patients1/55-star benchmark: 93%
Cervical Cancer Screening
6%52 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
17%46 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
1%156 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
60%130 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
1%74 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
34%74 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
56%1,721 patients2/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
7%174 patients1/55-star benchmark: 100%
HIV Screening
4%25 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
28%29 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%30 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 22% · 268 patients
Patients screened: 22% · 268 patients
100%58 patients5/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 177 patients
Patients totalRate: 3% · 182 patients
3%182 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 11

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
2 suppliers85 claims336 services$6.52 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
2 suppliers80 claims80 services$2.64 avg. paid by Medicare
Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
2 suppliers14 claims14 services$44.66 avg. paid by Medicare
Seat attachment, walker E0156
DME-Other DME · category DE000N
2 suppliers12 claims12 services$14.96 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
4 suppliers51 claims51 services$53.51 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers22 claims22 services$14.32 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

MICHELLE SIGLER L.AC.
Acupuncturist
1130 SAM NEWELL RD, SUITE B
MATTHEWS, NC 28105
Mecklenburg County (704) 641-0188

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 Collins Fomunung's NPI number?

The NPI number for Collins Fomunung is 1124414750. It was assigned to this individual provider in the NPPES registry on April 10, 2015.

Where is Collins Fomunung located?

Collins Fomunung practices at 1130 Sam Newell Rd, Matthews, NC 28105. The listed phone number is (704) 900-7761.

What is Collins Fomunung's specialty?

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

Is Collins Fomunung enrolled in Medicare?

Yes. Collins Fomunung is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Collins Fomunung's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Collins Fomunung reassigns Medicare benefits to 5 organizations: Mt Zion Medical And Nursing Services, PA (Matthews, NC), Eventus Wh Southeast, LLC (Charlotte, NC), Eventus Wh PLLC Care, LLC (Charlotte, NC), Eventus Wholehealth, PLLC (Concord, NC) and Eventus Wh Southeast - South Carolina, LLC (Columbia, SC). 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 Collins Fomunung's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Collins Fomunung accept?

Health plans from Cigna Healthcare and UnitedHealthcare list Collins Fomunung 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 Collins Fomunung was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.