MATILDA BOATENG NP
NPI 1124804877
Nurse Practitioner in Ashburn, VA
About Matilda Boateng Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATILDA BOATENG NP (NPI 1124804877) is an individual nurse practitioner in Ashburn, Virginia, licensed in Virginia (2023102217) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Matilda Boateng Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
8Medicare enrollment records show Matilda Boateng reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Chantilly, VA 20151
- Reassigned Medicare billing, District of Columbia enrollment
- 3 clinicians in this Medicare group
Chantilly, VA 20151
- Reassigned Medicare billing, District of Columbia enrollment
- 3 clinicians in this Medicare group
Silver Spring, MD 20910
- Reassigned Medicare billing, District of Columbia and Virginia enrollments
- 62 clinicians in this Medicare group
Silver Spring, MD 20910
- Reassigned Medicare billing, District of Columbia and Virginia enrollments
- 62 clinicians in this Medicare group
Fulton, MD 20759
- Reassigned Medicare billing, District of Columbia and Virginia enrollments
- 82 clinicians in this Medicare group
Masury, OH 44438
- Reassigned Medicare billing, District of Columbia and Virginia enrollments
- 27 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Virginia enrollment
- 501 clinicians in this Medicare group
- Reassigned Medicare billing, District of Columbia and Virginia enrollments
- 24 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 7
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20147 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
ASHBURN, VA 20147
ASHBURN, VA 20147
ASHBURN, VA 20147
ASHBURN, VA 20147
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 Matilda Boateng's NPI number?
The NPI number for Matilda Boateng is 1124804877. It was assigned to this individual provider in the NPPES registry on September 7, 2023.
Where is Matilda Boateng located?
Matilda Boateng practices at 20130 Lakeview Center Plz Ste 400, Ashburn, VA 20147. The listed phone number is (703) 865-2144.
What is Matilda Boateng's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Matilda Boateng enrolled in Medicare?
Yes. Matilda Boateng is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Matilda Boateng's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Matilda Boateng reassigns Medicare benefits to 8 organizations: Five Star Home Health Care LLC (Chantilly, VA), Five Star House Calls LLC (Chantilly, VA), Ennoble Hc Dmv III LLC (Silver Spring, MD), Ennoble Hc Dmv II LLC (Silver Spring, MD), Ennoble Hc Dmv LLC (Fulton, MD) and 3 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Matilda Boateng's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Matilda Boateng was last updated on September 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days 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.
# Matilda Boateng, NP · NPI 1124804877
Nurse Practitioner physician in Ashburn, Virginia. Individual provider, active in the CMS NPPES registry since September 7, 2023.
## Identity
- **NPI:** 1124804877 (Entity type: Individual)
- **Enumerated:** September 7, 2023
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 2023102217 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 20130 LAKEVIEW CENTER PLZ STE 400, Ashburn, VA 20147-5905
- **Phone:** (703) 865-2144
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Five Star Home Health Care LLC (NPI 1619118528, Chantilly, VA); Five Star House Calls LLC (NPI 1730043506, Chantilly, VA); Ennoble Hc Dmv III LLC (NPI 1922981695, Silver Spring, MD); Ennoble Hc Dmv II LLC (NPI 1134002900, Silver Spring, MD); Ennoble Hc Dmv LLC (NPI 1104492115, Fulton, MD); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** September 28, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1124804877) · Data from the CMS NPPES public registry.