ADAKU LILIAN IZUNWANNE
NPI 1104245224
Nurse Practitioner - Gerontology in Manassas, VA

Q: What is Adaku Izunwanne's NPI number?

The NPI number for Adaku Izunwanne is 1104245224. It was assigned to this individual provider in the NPPES registry on April 16, 2014.

Q: What is Adaku Izunwanne's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Adaku Izunwanne was last updated on April 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since April 16, 2014PECOS Enrolled

9306 FOREST POINT CIR, MANASSAS, VA 20110(703) 330-3322(703) 330-5051 Get Directions Write a Review

NPPES record last updated: April 16, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Adaku Lilian Izunwanne NPPES

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

ADAKU LILIAN IZUNWANNE (NPI 1104245224) is an individual gerontology provider in Manassas, Virginia, licensed in Virginia (0024171147) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104245224

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameADAKU LILIAN IZUNWANNE

Location Address9306 FOREST POINT CIRManassas, VA 20110-4700

Mailing Address9306 Forest Point CirManassas, VA 20110-4700 · (703) 330-3322 · Fax (703) 330-5051

Phone(703) 330-3322

Fax(703) 330-5051

Sole ProprietorNo

Enumeration DateApril 16, 2014

✔ NPI 1104245224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in VA · 0024171147

9306 FOREST POINT CIR, Manassas, VA 20110

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adaku Lilian Izunwanne 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20110 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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