QUINTA FONKWA
NPI 1417722695
Nurse Practitioner - Gerontology in Dallas, TX

Q: What is Quinta Fonkwa's NPI number?

The NPI number for Quinta Fonkwa is 1417722695. It was assigned to this individual provider in the NPPES registry on November 17, 2023.

Q: What is Quinta Fonkwa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Quinta Fonkwa was last updated on November 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since November 17, 2023PECOS EnrolledAccepts Medicare Assignment

5315 ROSS AVE, DALLAS, TX 75206(214) 826-2151 Get Directions Write a Review

NPPES record last updated: November 25, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 25, 2025, Nov 17, 2023 (2 updates tracked since 2023).

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About Quinta Fonkwa NPPES

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

QUINTA FONKWA (NPI 1417722695) is an individual gerontology provider in Dallas, Texas, licensed in Texas (1140421) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1417722695

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameQUINTA FONKWA

Location Address5315 ROSS AVEDallas, TX 75206-7418

Mailing Address8305 Loma Alta TrlMckinney, TX 75070-6029 · (513) 485-0783

Phone(214) 826-2151

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateNovember 17, 2023

Last NPPES UpdateNovember 25, 20252 updates tracked since enumeration

NPPES CertifiedNovember 25, 2025

✔ NPI 1417722695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in TX · 1140421

Also ListedClinic/CenterTaxonomy 261Q00000X

5315 ROSS AVE, Dallas, TX 75206

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Quinta Fonkwa 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 ID7719423805

PECOS Enrollment IDI20240725000834

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

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

Lightflower, Ltd.

14 mi

General Practice

1400 PRESTON RD, SUITE 400
Plano, TX 75093

Reassigned Medicare billing, Texas enrollment
9 clinicians in this Medicare group

NPI 1194174946 (972) 632-2358

Mds Texas Medical PLLC

65 mi

Family Medicine

301 S PARK ST
Granbury, TX 76048

Reassigned Medicare billing, Texas enrollment
12 clinicians in this Medicare group

NPI 1093608929 (212) 734-6621

Wellness Integrative Health LLC

180 mi

Gerontology

5900 BALCONES DR STE 100
Austin, TX 78731

Reassigned Medicare billing, Texas enrollment

NPI 1922835529 (469) 352-2259

Medical Director Services PC

1,241 mi

Geriatric Medicine

11974 EDGEHILL TERRACE RD
Princess Anne, MD 21853

Reassigned Medicare billing, Texas enrollment
17 clinicians in this Medicare group

NPI 1871955807 (212) 734-6621

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 6

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

243 services49 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

148 services61 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

135 services28 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

96 services55 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

69 services58 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

54 services47 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75206 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.

MARIA LILIAN LEON M.D

Pediatrics