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RFANYU DAISY TALLA AYUK MANYANG
NPI 1528696416
Nurse Practitioner - Family in Katy, TX

Active since March 28, 2020PECOS EnrolledAccepts Medicare Assignment
2111 CASTLE GARDENS LN, KATY, TX 77449(832) 406-5720 Get Directions Write a Review

NPPES record last updated: April 24, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 24, 2026, Mar 28, 2020 (2 updates tracked since 2020).

About Rfanyu Daisy Talla Ayuk Manyang NPPES

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

RFANYU DAISY TALLA AYUK MANYANG (NPI 1528696416) is an individual family provider in Katy, Texas, licensed in Texas (1166257) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1528696416
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRFANYU DAISY TALLA AYUK MANYANG
Location Address2111 CASTLE GARDENS LNKaty, TX 77449-1739
Mailing Address2111 Castle Gardens LnKaty, TX 77449-1739 · (832) 406-5720
Phone(832) 406-5720
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 28, 2020
Last NPPES UpdateApril 24, 20262 updates tracked since enumeration
NPPES CertifiedApril 24, 2026
✔ NPI 1528696416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 1166257
Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License 890474 (TX)
Also ListedNurse PractitionerTaxonomy 363L00000X · License 1166257 (TX)
2111 CASTLE GARDENS LN, Katy, TX 77449
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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

Rfanyu Daisy Talla Ayuk Manyang 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 ID6901374461
PECOS Enrollment IDI20260504006835
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 Reassignment

Medicare enrollment records show Rfanyu Talla Ayuk Manyang reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kingdom House Calls LLC
31 mi
Internal Medicine
5446 SHAMROCK ST
Houston, TX 77017
  • Reassigned Medicare billing, Texas enrollment
  • 18 clinicians in this Medicare group
NPI 1902597537 (832) 577-7925

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 77449 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

HAVEN'S PEDIATRIC LLC
Home Health
2111 CASTLE GARDENS LN
KATY, TX 77449
Harris County (832) 406-5720

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 Rfanyu Talla Ayuk Manyang's NPI number?

The NPI number for Rfanyu Talla Ayuk Manyang is 1528696416. It was assigned to this individual provider in the NPPES registry on March 28, 2020.

Where is Rfanyu Talla Ayuk Manyang located?

Rfanyu Talla Ayuk Manyang practices at 2111 Castle Gardens Ln, Katy, TX 77449. The listed phone number is (832) 406-5720.

What is Rfanyu Talla Ayuk Manyang's specialty?

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

Is Rfanyu Talla Ayuk Manyang enrolled in Medicare?

Yes. Rfanyu Talla Ayuk Manyang 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.

Which organization bills Medicare for Rfanyu Talla Ayuk Manyang's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rfanyu Talla Ayuk Manyang reassigns Medicare benefits to Kingdom House Calls LLC (Houston, TX). The 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 Rfanyu Talla Ayuk Manyang'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 Rfanyu Talla Ayuk Manyang was last updated on April 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.