VIRGINIA NJIHIA
NPI 1285233874
Nurse Practitioner - Psychiatric/Mental Health in Maplewood, NJ

Active since October 23, 2020PECOS EnrolledAccepts Medicare Assignment
1549 SPRINGFIELD AVE, MAPLEWOOD, NJ 07040(646) 687-2838 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 26, 2021, Oct 23, 2020 (2 updates tracked since 2020).

About Virginia Njihia NPPES

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

VIRGINIA NJIHIA (NPI 1285233874) is an individual psychiatric/mental health provider in Maplewood, New Jersey, licensed in New Jersey (26NJ00986500) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1285233874
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameVIRGINIA NJIHIA
Location Address1549 SPRINGFIELD AVEMaplewood, NJ 07040-2413
Mailing Address1549 Springfield AveMaplewood, NJ 07040-2413 · (646) 687-2838
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 23, 2020
Last NPPES UpdateOctober 28, 20252 updates tracked since enumeration
NPPES CertifiedOctober 28, 2025
✔ NPI 1285233874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NJ · 26NJ00986500
1549 SPRINGFIELD AVE, Maplewood, NJ 07040

Other Names 1

Other Name (5)Virginia Ingram

Accepted Insurance

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

Virginia Njihia 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.

PECOS PAC ID345689188
PECOS Enrollment IDI20251206000397
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Virginia Njihia reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatric/Mental Health
1549 SPRINGFIELD AVE
Maplewood, NJ 07040
  • Reassigned Medicare billing, New Jersey enrollment
Internal Medicine
1136 CLIFTON AVE FL 2
Clifton, NJ 07013
  • Reassigned Medicare billing, New Jersey enrollment
  • 40 clinicians in this Medicare group
Mental Health
221 RIVER ST. FL 9
Hoboken, NJ 07030
  • Reassigned Medicare billing, New Jersey enrollment
  • 673 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07040 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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

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

Nurse Practitioner (Psychiatric/Mental Health)
1549 SPRINGFIELD AVE
MAPLEWOOD, NJ 07040

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 Virginia Njihia's NPI number?

The NPI number for Virginia Njihia is 1285233874. It was assigned to this individual provider in the NPPES registry on October 23, 2020. The provider is also known as Virginia Ingram.

Where is Virginia Njihia located?

Virginia Njihia practices at 1549 Springfield Ave, Maplewood, NJ 07040. The listed phone number is (646) 687-2838.

What is Virginia Njihia's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Virginia Njihia enrolled in Medicare?

Yes. Virginia Njihia 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 Virginia Njihia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Virginia Njihia reassigns Medicare benefits to 3 organizations: Vileowa Mental Health Services PC (Maplewood, NJ), Gold Standard Medical Group PC (Clifton, NJ) and Grow Healthcare Group Of New Jersey PC (Hoboken, NJ). 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 Virginia Njihia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Virginia Njihia accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Virginia Njihia as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Virginia Njihia was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.