SALOME MBOH BASEBANG
NPI 1346738010
Nurse Practitioner - Family in Mesquite, TX

Active since April 27, 2018PECOS Enrolled
629 N TOWN EAST BLVD APT 120, MESQUITE, TX 75150(214) 325-0716 Get Directions Write a Review

NPPES record last updated: April 13, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 13, 2020, Apr 27, 2018 (2 updates tracked since 2018).

About Salome Mboh Basebang NPPES

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

SALOME MBOH BASEBANG (NPI 1346738010) is an individual family provider in Mesquite, Texas, licensed in Texas (AP142942) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346738010
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSALOME MBOH BASEBANG
Location Address629 N TOWN EAST BLVD APT 120Mesquite, TX 75150-8342
Mailing Address629 N Town East Blvd Apt 120Mesquite, TX 75150-8342 · (214) 325-0716
Sole ProprietorYes
Enumeration DateApril 27, 2018
Last NPPES UpdateApril 13, 20202 updates tracked since enumeration
NPPES CertifiedApril 13, 2020
✔ NPI 1346738010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · AP142942
Also ListedRegistered NurseTaxonomy 163W00000X · License 825443 (TX)
629 N TOWN EAST BLVD APT 120, Mesquite, TX 75150

Other Identifiers 1

Medicaid24331856TX

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Salome Mboh Basebang 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.

Medicare Billing Reassignments

7

Medicare enrollment records show Salome Basebang reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Texas enrollment
  • 1,246 clinicians in this Medicare group
Family Medicine
4545 FULLER DR STE 325
Irving, TX 75038
  • Reassigned Medicare billing, Texas enrollment
  • 802 clinicians in this Medicare group
Family Medicine
317 E CAPITOL ST STE 200
Jackson, MS 39201
  • Reassigned Medicare billing, Texas enrollment
  • 69 clinicians in this Medicare group
Family Medicine
887 E SECOND ST
Pomona, CA 91766
  • Reassigned Medicare billing, California enrollment
  • 339 clinicians in this Medicare group
Health Maintenance Organization
1540 BRIDGEGATE DR
Diamond Bar, CA 91765
  • Reassigned Medicare billing, California enrollment
  • 283 clinicians in this Medicare group
Nurse Practitioner
200 OCEANGATE STE 100
Long Beach, CA 90802
  • Reassigned Medicare billing, Michigan and Texas enrollments
  • 157 clinicians in this Medicare group
Family Medicine
21540 30TH DR SE STE 400
Bothell, WA 98021
  • Reassigned Medicare billing, Washington enrollment
  • 207 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75150 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.

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 Salome Basebang's NPI number?

The NPI number for Salome Basebang is 1346738010. It was assigned to this individual provider in the NPPES registry on April 27, 2018.

Where is Salome Basebang located?

Salome Basebang practices at 629 N Town East Blvd Apt 120, Mesquite, TX 75150. The listed phone number is (214) 325-0716.

What is Salome Basebang's specialty?

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

Is Salome Basebang enrolled in Medicare?

Yes. Salome Basebang is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Salome Basebang's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Salome Basebang reassigns Medicare benefits to 7 organizations: Signify Health Medical Associates, PLLC (Dallas, TX), Vpa Of Texas PLLC (Irving, TX), Harmonycares Complete Health Services, PLLC (Jackson, MS), Molina Healthcare Of California (Pomona, CA), Central Health Plan Of California, Inc. (Diamond Bar, CA) and 2 more organizations, listed in the Medicare section above. 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 Salome Basebang's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Salome Basebang was last updated on April 13, 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.