BELINDA FOMBA
NPI 1194434738
Nurse Practitioner - Psychiatric/Mental Health in Fort Defiance, AZ
About Belinda Fomba NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BELINDA FOMBA (NPI 1194434738) is an individual psychiatric/mental health provider in Fort Defiance, Arizona, licensed in Arizona (219337) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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
Belinda Fomba 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 86504 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
FORT DEFIANCE, AZ 86504
FORT DEFIANCE, AZ 86504
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 Belinda Fomba's NPI number?
The NPI number for Belinda Fomba is 1194434738. It was assigned to this individual provider in the NPPES registry on November 22, 2022.
Where is Belinda Fomba located?
Belinda Fomba practices at Corner Of Route N12 And N7, Fort Defiance, AZ 86504. The listed phone number is (928) 729-8000.
What is Belinda Fomba's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Belinda Fomba enrolled in Medicare?
Yes. Belinda Fomba 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.
What insurance does Belinda Fomba accept?
Health plans from Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Belinda Fomba 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 Belinda Fomba was last updated on May 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Belinda Fomba · NPI 1194434738
Psychiatric/Mental Health physician in Fort Defiance, Arizona. Individual provider, active in the CMS NPPES registry since November 22, 2022.
## Identity
- **NPI:** 1194434738 (Entity type: Individual)
- **Enumerated:** November 22, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 219337 (Arizona)
- **Sole proprietor:** Yes
## Practice location
- **Address:** CORNER OF ROUTE N12 AND N7, Fort Defiance, AZ 86504-0649
- **Phone:** (928) 729-8000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** May 4, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1194434738) · Data from the CMS NPPES public registry.