FIDELIS M SUMAMPONG N.P.
NPI 1740726678
Nurse Practitioner - Family in Mission Hills, CA

Active since January 17, 2017PECOS Enrolled
11333 SEPULVEDA BLVD, MISSION HILLS, CA 91345(818) 869-7254 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 6, 2021, Oct 30, 2017, Feb 23, 2017 and 1 more (4 updates tracked since 2017).

About Fidelis M Sumampong N.p. NPPES

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

FIDELIS M SUMAMPONG N.P. (NPI 1740726678) is an individual family provider in Mission Hills, California, licensed in California (95005655) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740726678
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameFIDELIS M SUMAMPONGCredential: N.P.
Location Address11333 SEPULVEDA BLVDMission Hills, CA 91345-1116
Mailing AddressPo Box 9602Mission Hills, CA 91346-9602 · (818) 837-5559 · Fax (818) 792-4793
Sole ProprietorNo
Enumeration DateJanuary 17, 2017
Last NPPES UpdateDecember 6, 20214 updates tracked since enumeration
NPI 1740726678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · 95005655
11333 SEPULVEDA BLVD, Mission Hills, CA 91345

Medicare Participation & PECOS Enrollment Status

Fidelis Sumampong is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 91345 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $96.36
  • Minimum New Patient Price $62.96
  • Maximum New Patient Price $187.6
  • Average New Patient Copayment $24.09
  • Minimum New Patient Copayment $15.74
  • Maximum New Patient Copayment $46.9

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $109.96
  • Minimum Established Patient Price $20.84
  • Maximum Established Patient Price $153.61
  • Average Established Patient Copayment $27.49
  • Minimum Established Patient Copayment $5.21
  • Maximum Established Patient Copayment $38.4

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for FIDELIS M SUMAMPONG N.P.

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Family Medicine
11333 SEPULVEDA BLVD
MISSION HILLS, CA 91345
Internal Medicine
11333 SEPULVEDA BLVD
MISSION HILLS, CA 91345
Internal Medicine
11333 SEPULVEDA BLVD
MISSION HILLS, CA 91345
Internal Medicine
11333 SEPULVEDA BLVD
MISSION HILLS, CA 91345
Internal Medicine
11333 SEPULVEDA BLVD
MISSION HILLS, CA 91345
Nurse Practitioner (Family)
11333 SEPULVEDA BLVD
MISSION HILLS, CA 91345
Pharmacy (Community/Retail Pharmacy)
11333 SEPULVEDA BLVD, SUITE 1200
MISSION HILLS, CA 91345
Dermatology
11333 SEPULVEDA BLVD
MISSION HILLS, CA 91345
Physical Therapist
11333 SEPULVEDA BLVD
MISSION HILLS, CA 91345
Internal Medicine (Hematology & Oncology)
11333 SEPULVEDA BLVD
MISSION HILLS, CA 91345
Obstetrics & Gynecology
11333 SEPULVEDA BLVD
MISSION HILLS, CA 91345
Nurse Practitioner (Obstetrics & Gynecology)
11333 SEPULVEDA BLVD
MISSION HILLS, CA 91345
Internal Medicine (Gastroenterology)
11333 SEPULVEDA BLVD
MISSION HILLS, CA 91345
Internal Medicine (Endocrinology, Diabetes & Metabolism)
11333 SEPULVEDA BLVD
MISSION HILLS, CA 91345
Internal Medicine
11333 SEPULVEDA BLVD
MISSION HILLS, CA 91345
Obstetrics & Gynecology
11333 SEPULVEDA BLVD
MISSION HILLS, CA 91345
Internal Medicine (Hematology & Oncology)
11333 SEPULVEDA BLVD
MISSION HILLS, CA 91345
Physical Therapist
11333 SEPULVEDA BLVD
MISSION HILLS, CA 91345
Physical Therapist
11333 SEPULVEDA BLVD
MISSION HILLS, CA 91345
Internal Medicine (Nephrology)
11333 SEPULVEDA BLVD
MISSION HILLS, CA 91345

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740726678, enumerated as an "individual" on January 17, 2017.

The provider is located at 11333 SEPULVEDA BLVD MISSION HILLS, CA 91345 and the phone number is (818) 869-7254.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.