Mafon Fomujang, NURSE PRACTITIONER
Nurse Practitioner (CMS) · Austin, TX
At a glance
2911 Medical Arts St Ste 10, Austin, TX 78705-3302
NPPES record updated Jul 3, 2023. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Medicare & insurance
Insurance participation is not established by these public records. Ask the practice and your insurer about your specific plan and this location.
How to check your coverage
Use your plan’s provider directory or the member-services number on your insurance card. Confirm the clinician, practice address, service, and whether a referral is required. A missing opt-out record does not establish Medicare acceptance.
Check the official Medicare directory ↗Practice location
2911 Medical Arts St Ste 10Austin, TX 78705-3302
Additional reported practice locations
10 Salt Creek RunPeninsula, OH 442649461
Phone: 4055496290 12395 Mccracken Rd Ste A
Garfield Heights, OH 441252946
Phone: 2165876727 1930 Fulton Rd Nw # 103
Canton, OH 447093526
Phone: 3309565936
Fax: 3309565623 13422 Kinsman Rd
Cleveland, OH 441204410
Phone: 8665366038 · Ext. 2611
Education & affiliations
- Medical / professional school
- Not reported in this file
- Graduation year
- 2022
- CMS specialties
- Nurse Practitioner
CMS reports telehealth services for this clinician. Confirm current services and availability with the practice.
Practice groups
Graduation year does not establish years in practice. A reported affiliation does not establish employment, current admitting privileges, or insurance participation.
Source: CMS National Downloadable File · Published Oct 15, 2026.
Procedures in the public data
Reported activity can help you ask more informed questions about a practice’s services.
No displayed procedure-category record in this release. This does not mean the clinician performs no procedures.
CMS uses a one-year claims window with a reporting lag. Counts cover the Medicare activity included by CMS, not all patients. “1–10” is a published range. Volume is not a quality or outcomes score. Coverage and methodology
Source: CMS Utilization Data · Published Oct 15, 2026.
Service-mix comparison is unavailable for this NPI in the imported Medicare service file.
Industry-reported general payments
No matching general-payment summary in the imported release. This is not a verified zero and does not rule out other payment types or years.
Source: CMS 2025 payments grouped by covered recipient and nature of payments · Published Jun 30, 2026.
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Nurse Practitioner (CMS)
- Taxonomy code
- 363LP0808X
- Enumeration date
- Apr 26, 2017
- Record updated
- Jul 3, 2023
More registry details
- Provider type
- Individual · Type 1
- Reported credentials
- NURSE PRACTITIONER
Reported taxonomies and licenses
364SP0808X
License reported: 023666 OH
363LP0808X
License reported: APRN.CNP.023666 OH
363LP0808X · Primary
License reported: 1048371 TX
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
2911 Medical Arts St Ste 10Austin, TX 78705-3302
- Phone
- (866) 473-0663
Mailing address
32638 HARVEST VALLEY DRBROOKSHIRE, TX 774232908
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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