MONICA L PRUDENCIO MD
NPI 1043954423
Psychiatry & Neurology - Clinical Neurophysiology in Richmond, VA

Active since April 22, 2022PECOS Enrolled
417 N 11TH ST, RICHMOND, VA 23298(804) 828-9350(804) 807-7949 Get Directions Write a Review

NPPES record last updated: June 14, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 5, 2024, Apr 22, 2022 (2 updates tracked since 2022).

About Monica L Prudencio Md NPPES

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

MONICA L PRUDENCIO MD (NPI 1043954423) is an individual clinical neurophysiology provider in Richmond, Virginia, licensed in Virginia (0101289600) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043954423
Entity TypeIndividualFemale
Primary Taxonomy2084N0600X
Provider Legal NameMONICA L PRUDENCIOCredential: MD
Location Address417 N 11TH STRichmond, VA 23298-5024
Mailing AddressVcuhs Gme Administration, Box 980257Richmond, VA 23298-0257 · (804) 828-9783
Fax(804) 807-7949
Sole ProprietorNo
Enumeration DateApril 22, 2022
Last NPPES UpdateJune 14, 20262 updates tracked since enumeration
NPPES CertifiedJune 14, 2026
NPI 1043954423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · Clinical NeurophysiologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0600X
License Licensed in VA · 0101289600
Definition

Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).

417 N 11TH ST, Richmond, VA 23298

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Monica L Prudencio Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Nurse Practitioner (Acute Care)
417 N 11TH ST
RICHMOND, VA 23298
Internal Medicine
417 N 11TH ST
RICHMOND, VA 23298
Student in an Organized Health Care Education/Training Program
417 N 11TH ST
RICHMOND, VA 23298
Anesthesiology
417 N 11TH ST
RICHMOND, VA 23298
Internal Medicine
417 N 11TH ST
RICHMOND, VA 23298
Anesthesiology
417 N 11TH ST
RICHMOND, VA 23298
Internal Medicine
417 N 11TH ST
RICHMOND, VA 23298
Orthopaedic Surgery
417 N 11TH ST
RICHMOND, VA 23298

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 Monica Prudencio's NPI number?

The NPI number for Monica Prudencio is 1043954423. It was assigned to this individual provider in the NPPES registry on April 22, 2022.

Where is Monica Prudencio located?

Monica Prudencio practices at 417 N 11th St, Richmond, VA 23298. The listed phone number is (804) 828-9350.

What is Monica Prudencio's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Clinical Neurophysiology, with taxonomy code 2084N0600X.

Is Monica Prudencio enrolled in Medicare?

Yes. Monica Prudencio is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Monica Prudencio was last updated on June 14, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.