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PAUL MAYOMBOLA AGACNP
NPI 1902283534
Nurse Practitioner - Acute Care in Dallas, TX

Active since May 04, 2015PECOS EnrolledAccepts Medicare Assignment
3500 GASTON AVE, DALLAS, TX 75246(214) 820-6856 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Paul Mayombola Agacnp NPPES

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

PAUL MAYOMBOLA AGACNP (NPI 1902283534) is an individual acute care provider in Dallas, Texas, licensed in Texas (AP127876) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with Baylor University Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1902283534
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NamePAUL MAYOMBOLACredential: AGACNP
Location Address3500 GASTON AVEDallas, TX 75246-2017
Mailing Address3500 Gaston AveDallas, TX 75246-2017 · (214) 820-6856
Phone(214) 820-6856
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMay 4, 2015
Last NPPES UpdateApril 5, 2022
NPPES CertifiedApril 5, 2022
✔ NPI 1902283534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in TX · AP127876
3500 GASTON AVE, Dallas, TX 75246
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Paul Mayombola Agacnp 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 ID7012224850
PECOS Enrollment IDI20160630002145
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.

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 discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
14 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baylor University Medical Center

Acute Care Hospitals · Dallas, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450021
Location3500 Gaston AveDallas, TX 75246 · Dallas County
Emergency services Birthing friendly
5/5 CMS rating
OwnershipProprietary
CMS Certification Number450851
Location621 North Hall StreetDallas, TX 75226 · Dallas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75246 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.

DR. JAIME ALBERT CAMPBELL M.D., M.S.
Pathology (Anatomic Pathology & Clinical Pathology)
3500 GASTON AVE, BAYLOR UNIVERSITY MEDICAL CENTER, DEPT OF PATHOLOGY
DALLAS, TX 75246
Dallas County (214) 820-3772
MICHELLE CAIN AGACNP
Nurse Practitioner (Acute Care)
3500 GASTON AVE
DALLAS, TX 75246
Dallas County (214) 820-2050
DR. MATTHEW PAUL CLEMONS MD
Radiology (Diagnostic Radiology)
3500 GASTON AVE
DALLAS, TX 75246
Dallas County (214) 820-2361
ROBERT COLE FORE RN
Registered Nurse
3500 GASTON AVE
DALLAS, TX 75246
Dallas County (214) 820-0111
JAMES PIERRE D'ETIENNE MD
Emergency Medicine
3500 GASTON AVE
DALLAS, TX 75246
Dallas County (214) 820-2505
DR. JO ANN F. TRAVIS M.D.
Anesthesiology
3500 GASTON AVE, DEPARTMENT OF ANESTHESIOLOGY
DALLAS, TX 75246
Dallas County (214) 549-4835
ASIF ZIA KHATTAK MD
Pediatrics (Neonatal-Perinatal Medicine)
3500 GASTON AVE
DALLAS, TX 75246
Dallas County (214) 820-7604
FATIMA KHAN
Student in an Organized Health Care Education/Training Program
3500 GASTON AVE
DALLAS, TX 75246
Dallas County (844) 279-3627

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 Paul Mayombola's NPI number?

The NPI number for Paul Mayombola is 1902283534. It was assigned to this individual provider in the NPPES registry on May 4, 2015.

Where is Paul Mayombola located?

Paul Mayombola practices at 3500 Gaston Ave, Dallas, TX 75246. The listed phone number is (214) 820-6856.

What is Paul Mayombola's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Paul Mayombola enrolled in Medicare?

Yes. Paul Mayombola 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.

What insurance does Paul Mayombola accept?

Health plans from Blue Cross and Blue Shield of Texas list Paul Mayombola 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 Paul Mayombola affiliated with any hospitals?

According to CMS data, Paul Mayombola is affiliated with Baylor University Medical Center and Baylor Scott & White Heart & Vascular Hospital - Dallas.

When was this NPI record last updated?

The NPPES record for Paul Mayombola was last updated on April 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.