Chanelle Injeh Kunseh Fombo, NP in Greenville, TX

Chanelle Injeh Kunseh Fombo, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Greenville, Texas. She graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Pulmonary Critical Care Professionals and her current practice location is 4215 Joe Ramsey Blvd E, Greenville, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 408-5000.

Chanelle Injeh Kunseh Fombo is licensed to practice in Texas (license number 1019684) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1851968614.

Contact Information

	Chanelle Injeh Kunseh Fombo, NP
	4215 Joe Ramsey Blvd E, Greenville, TX 75401-7852
	(903) 408-5000
	Not Available

Map and Direction

Provider's Profile

Full Name	Chanelle Injeh Kunseh Fombo
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	4215 Joe Ramsey Blvd E, Greenville, Texas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Chanelle Injeh Kunseh Fombo graduated from nursing school in 2020

NPI Data:

NPI Number: 1851968614
Provider Enumeration Date: 06/09/2021
Last Update Date: 02/11/2025

Medicare PECOS Information:

PECOS PAC ID: 8820491004
Enrollment ID: I20220623003002

Medical Identifiers

Medical identifiers for Chanelle Injeh Kunseh Fombo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851968614	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	0024188872 (Virginia)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	1019684 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Baylor Scott & White Medical Center- Waxahachie	Waxahachie, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Pulmonary Critical Care Professionals	2062884471	15

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Chanelle Injeh Kunseh Fombo allows following entities to bill medicare on her behalf.

Entity Name	Hunt Memorial Hospital District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598750721 PECOS PAC ID: 6406768936 Enrollment ID: O20040424000352

Entity Name	Questcare Hospitalists Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265441620 PECOS PAC ID: 5799785119 Enrollment ID: O20070109000581

Entity Name	Pulmonary Critical Care Professionals
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922714179 PECOS PAC ID: 2062884471 Enrollment ID: O20230214000034

Entity Name	Vital Hospital Partners Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922786649 PECOS PAC ID: 4789045949 Enrollment ID: O20230803003003

Entity Name	Star Md Of Arlington Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124894308 PECOS PAC ID: 8628428265 Enrollment ID: O20231222002125

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Chanelle Injeh Kunseh Fombo is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Chanelle Injeh Kunseh Fombo, NP 501 Air Park Ave, Greenville, TX 75402-3000 Ph: (903) 408-5834	Chanelle Injeh Kunseh Fombo, NP 4215 Joe Ramsey Blvd E, Greenville, TX 75401-7852 Ph: (903) 408-5000

Reviews and Comments

Nurse Practitioner Nurses in Greenville, TX

Sunny Makolo, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2405 Stonewall St, Greenville, TX 75401 Phone: 903-454-3300 Fax: 903-454-3307
Patrick D Hill, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4215 Joe Ramsey Blvd E, Greenville, TX 75401 Phone: 580-263-0091
Mr. William Thomas Crowe Iv, RN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4101 Wesley St, Suite B, Greenville, TX 75401 Phone: 903-454-7555 Fax: 903-450-4420
Jennifer Carter, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4221 Ridgecrest, Suite 103, Greenville, TX 75402 Phone: 903-454-2130 Fax: 903-454-5487
Mrs. Sarah Rhea Money, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4400 I 30 W Ste 100, Greenville, TX 75402 Phone: 469-800-3500
Craystal Gail Salazar, RN, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4311 Wesley St, Greenville, TX 75401 Phone: 903-455-5958 Fax: 903-455-1604
Jennifer C Carpenter, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4501 Joe Ramsey Blvd E Ste 100, Greenville, TX 75401 Phone: 903-408-5800 Fax: 903-455-8232

Chanelle Injeh Kunseh Fombo, NP - Medicare Nurse Practitioner in Greenville, TX