CHANELLE INJEH KUNSEH FOMBO NP
NPI 1851968614
Nurse Practitioner - Acute Care in Greenville, TX
About Chanelle Injeh Kunseh Fombo Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHANELLE INJEH KUNSEH FOMBO NP (NPI 1851968614) is an individual acute care provider in Greenville, Texas, licensed in Texas (1019684) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center- Waxahachie, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Accepted 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
Chanelle Injeh Kunseh Fombo Np 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.
Medicare Billing Reassignments
5Medicare enrollment records show Chanelle Fombo reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Greenville, TX 75401
- Reassigned Medicare billing, Texas enrollment
- 74 clinicians in this Medicare group
Dallas, TX 75218
- Reassigned Medicare billing, Texas enrollment
- 20 clinicians in this Medicare group
Dallas, TX 75230
- Reassigned Medicare billing, Texas enrollment
- 486 clinicians in this Medicare group
Mansfield, TX 76063
- Reassigned Medicare billing, Texas enrollment
- 33 clinicians in this Medicare group
Norfolk, VA 23502
- Reassigned Medicare billing, Virginia enrollment
- 1,901 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.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Baylor Scott & White Medical Center- Waxahachie
Acute Care Hospitals · Waxahachie, TXTexas Health Hospital Mansfield
Acute Care Hospitals · Mansfield, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
GREENVILLE, TX 75401
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 Chanelle Fombo's NPI number?
The NPI number for Chanelle Fombo is 1851968614. It was assigned to this individual provider in the NPPES registry on June 9, 2021.
Where is Chanelle Fombo located?
Chanelle Fombo practices at 4215 Joe Ramsey Blvd E, Greenville, TX 75401. The listed phone number is (903) 408-5000.
What is Chanelle Fombo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Chanelle Fombo enrolled in Medicare?
Yes. Chanelle Fombo 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 organizations bill Medicare for Chanelle Fombo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Chanelle Fombo reassigns Medicare benefits to 5 organizations: Hunt Memorial Hospital District (Greenville, TX), Star MD Of Arlington PLLC (Dallas, TX), Questcare Hospitalists PLLC (Dallas, TX), Pulmonary Critical Care Professionals (Mansfield, TX) and Sentara Medical Group (Norfolk, VA). 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 Chanelle Fombo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Chanelle Fombo accept?
Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Cigna Healthcare, Imperial Insurance Companies, Inc. and Molina Healthcare and 2 other insurers list Chanelle Fombo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Chanelle Fombo affiliated with any hospitals?
According to CMS data, Chanelle Fombo is affiliated with Baylor Scott & White Medical Center- Waxahachie and Texas Health Hospital Mansfield.
When was this NPI record last updated?
The NPPES record for Chanelle Fombo was last updated on February 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Chanelle Injeh Kunseh Fombo, NP · NPI 1851968614
Acute Care physician in Greenville, Texas. Individual provider, active in the CMS NPPES registry since June 9, 2021.
## Identity
- **NPI:** 1851968614 (Entity type: Individual)
- **Enumerated:** June 9, 2021
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 1019684 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 4215 JOE RAMSEY BLVD E, Greenville, TX 75401-7852
- **Phone:** (903) 408-5000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Hunt Memorial Hospital District (NPI 1598750721, Greenville, TX); Star MD Of Arlington PLLC (NPI 1124894308, Dallas, TX); Questcare Hospitalists PLLC (NPI 1265441620, Dallas, TX); Pulmonary Critical Care Professionals (NPI 1922714179, Mansfield, TX); Sentara Medical Group (NPI 1265485270, Norfolk, VA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** February 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1851968614) · Data from the CMS NPPES public registry.