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ESONGNYUO FOMUKONG-ETTA NP
NPI 1255886909
Nurse Practitioner in Irving, TX

Active since August 23, 2016PECOS Enrolled
3050 REGENT BLVD STE 100, IRVING, TX 75063(214) 689-8076 Get Directions Write a Review

NPPES record last updated: March 10, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 10, 2020, Aug 23, 2016 (2 updates tracked since 2016).

About Esongnyuo Fomukong-etta Np NPPES

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

ESONGNYUO FOMUKONG-ETTA NP (NPI 1255886909) is an individual nurse practitioner in Irving, Texas, licensed in Texas (AP131427) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255886909
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameESONGNYUO FOMUKONG-ETTACredential: NP
Location Address3050 REGENT BLVD STE 100Irving, TX 75063-3107
Mailing AddressPo Box 9755Houston, TX 77213-0755 · (832) 717-2780 · Fax (832) 717-2781
Phone(214) 689-8076
Sole ProprietorYes
Enumeration DateAugust 23, 2016
Last NPPES UpdateMarch 10, 20202 updates tracked since enumeration
NPPES CertifiedMarch 10, 2020
✔ NPI 1255886909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TX · AP131427
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
3050 REGENT BLVD STE 100, Irving, TX 75063
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Esongnyuo Fomukong-etta Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75063 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.

LEAH C BRAKE APRN
Nurse Practitioner (Women's Health)
3050 REGENT BLVD STE 100
IRVING, TX 75063
Dallas County (214) 689-3600

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 Esongnyuo Fomukong-etta's NPI number?

The NPI number for Esongnyuo Fomukong-etta is 1255886909. It was assigned to this individual provider in the NPPES registry on August 23, 2016.

Where is Esongnyuo Fomukong-etta located?

Esongnyuo Fomukong-etta practices at 3050 Regent Blvd Ste 100, Irving, TX 75063. The listed phone number is (214) 689-8076.

What is Esongnyuo Fomukong-etta's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Esongnyuo Fomukong-etta enrolled in Medicare?

Yes. Esongnyuo Fomukong-etta is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Esongnyuo Fomukong-etta was last updated on March 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.