Chanelle Injeh Kunseh Fombo, NP - Medicare Nurse Practitioner in Williamsburg, VA

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Chanelle Injeh Kunseh Fombo, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Williamsburg, Virginia. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Star Md Of Arlington Pllc and her current practice location is 400 Sentara Cir Ste 201a, Williamsburg, Virginia. You can reach out to her office (for appointments etc.) via phone at (757) 984-3975.

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
400 Sentara Cir Ste 201a,
Williamsburg, VA 23188-5716
(757) 984-3975
Not Available

Map and Direction




Provider's Profile

Full NameChanelle Injeh Kunseh Fombo
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location400 Sentara Cir Ste 201a, Williamsburg, Virginia
Accepts Medicare AssignmentsYes. 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 2015
  NPI Data:
  • NPI Number: 1851968614
  • Provider Enumeration Date: 06/09/2021
  • Last Update Date: 06/07/2024
  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.
IdentifierTypeStateIssuer
1851968614NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 0024188872 (Virginia)Secondary
363LA2100XNurse Practitioner - Acute Care 1019684 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baylor Scott & White Medical Center-white RockDallas, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Star Md Of Arlington Pllc862842826514

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 NameQuestcare Hospitalists Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265441620
PECOS PAC ID: 5799785119
Enrollment ID: O20070109000581
Entity NameQuestcare Intensivists Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164758074
PECOS PAC ID: 4688715691
Enrollment ID: O20100112000517
Entity NameApptexashm Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700399078
PECOS PAC ID: 9335406677
Enrollment ID: O20171122000562
Entity NameConner Intensivist Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154980332
PECOS PAC ID: 0446587927
Enrollment ID: O20190806002774
Entity NameWhite Rock Hospitalists, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326784935
PECOS PAC ID: 8022488022
Enrollment ID: O20230109002543
Entity NamePulmonary Critical Care Professionals
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922714179
PECOS PAC ID: 2062884471
Enrollment ID: O20230214000034
Entity NameVital Hospital Partners Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922786649
PECOS PAC ID: 4789045949
Enrollment ID: O20230803003003
Entity NameStar Md Of Arlington Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice Location Address
Chanelle Injeh Kunseh Fombo, NP
2929 Wycliff Ave Apt 2319,
Dallas, TX 75219-6652

Ph: (513) 479-6240		Chanelle Injeh Kunseh Fombo, NP
400 Sentara Cir Ste 201a,
Williamsburg, VA 23188-5716

Ph: (757) 984-3975

Reviews and Comments


Nurse Practitioner Nurses in Williamsburg, VA

Mrs. Leah Meister Childress, FNP
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Medicare: Accepting Medicare Assignments
Practice Location: 1144 Professional Dr, Williamsburg, VA 23185
Phone: 757-259-0443    Fax: 757-259-0450
Manju Treesa Jose,
Nurse Practitioner
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Practice Location: 5436 Burlington Ct, Williamsburg, VA 23188
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Julie Andrews,
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Medicare: Medicare Enrolled
Practice Location: 4601 Ironbound Rd, Williamsburg, VA 23188
Phone: 757-253-5161    
Michelle Hoffmann, ACNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 5000 New Point Rd Ste 2301, Williamsburg, VA 23188
Phone: 757-201-9771    
Morlinda M Kruegel, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 120 Kings Way, Suite 3500, Williamsburg, VA 23185
Phone: 757-221-0110    Fax: 757-221-0851
Yaneka Rhea Alaimalo, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 400 Sentara Cir Ste 320, Williamsburg, VA 23188
Phone: 757-345-4300    Fax: 757-510-9190
Mrs. Martha Jane Klinger, LPN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 5249 Olde Towne Rd, Williamsburg, VA 23188
Phone: 757-259-3254    Fax: 757-220-1953

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.