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MRS. ZOILA PATRICIA CONGLETON CFNP
NPI 1336152198
Nurse Practitioner - Family in Woodbridge, VA

Active since August 14, 2006PECOS EnrolledAccepts Medicare Assignment
88.99/100
CMS Quality Rating
4379 RIDGEWOOD CENTER DR, STE 102, WOODBRIDGE, VA 22192(703) 680-7950(703) 680-7953 Get Directions Write a Review

NPPES record last updated: May 4, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Zoila Patricia Congleton Cfnp NPPES

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

MRS. ZOILA PATRICIA CONGLETON CFNP (NPI 1336152198) is an individual family provider in Woodbridge, Virginia, licensed in Virginia (0024124038) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Sentara Northern Virginia Medical Center, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1336152198
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. ZOILA PATRICIA CONGLETONCredential: CFNP
Location Address4379 RIDGEWOOD CENTER DR, STE 102Woodbridge, VA 22192-8323
Mailing Address12229 Cinnamon StWoodbridge, VA 22192-1709 · (703) 494-5743 · Fax (703) 237-9355
Phone(703) 680-7950
Fax(703) 680-7953
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateAugust 14, 2006
Last NPPES UpdateMay 4, 2012
✔ NPI 1336152198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in VA · 0024124038
4379 RIDGEWOOD CENTER DR, Woodbridge, VA 22192
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Zoila Patricia Congleton Cfnp 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 ID840340485
PECOS Enrollment IDI20090602000647
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.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
334 services184 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
133 services95 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
45 services45 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
37 services31 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
25 services25 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sentara Northern Virginia Medical Center

Acute Care Hospitals · Woodbridge, VA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490113
Location2300 Opitz BoulevardWoodbridge, VA 22191 · Prince William County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22192 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

88.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.15
Promoting Interoperability100
Improvement Activities40
Cost69.17

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers12 claims28 services$6.15 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. ADELE E YOUNG P.N.P., PHD
Nurse Practitioner (Pediatrics)
4379 RIDGEWOOD CENTER DR, SUITE 102
WOODBRIDGE, VA 22192
Prince William County (703) 680-7950
JACQUELINE RODRIGUEZ LCSW
Social Worker (Clinical)
4379 RIDGEWOOD CENTER DR, SUITE 4013
WOODBRIDGE, VA 22192
Prince William County (703) 680-7950
ERIKA PATRICIA BORRAYO PHD
Psychologist (Clinical)
4379 RIDGEWOOD CENTER DR, SUITE 102
WOODBRIDGE, VA 22192
Prince William County (703) 680-7950
DR. SURA U EDMOND MD
Obstetrics & Gynecology
4379 RIDGEWOOD CENTER DR, STE 102
WOODBRIDGE, VA 22192
Prince William County (703) 680-7950
SHEETAL RAY DMD
Dentist
4379 RIDGEWOOD CENTER DR, STE 102
WOODBRIDGE, VA 22192
Prince William County (703) 680-7950
MARY HUNNICUTT
Counselor (Professional)
4379 RIDGEWOOD CENTER DR
WOODBRIDGE, VA 22192
Prince William County (703) 680-7950
JILL A ADAMS DDS
Dentist
4379 RIDGEWOOD CENTER DR, STE 102
WOODBRIDGE, VA 22192
Prince William County (703) 680-7950
MS. JILL NIXON HIBBERT CNM
Midwife
4379 RIDGEWOOD CENTER DR, STE 102
WOODBRIDGE, VA 22192
Prince William County (703) 680-7950

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 Zoila Congleton's NPI number?

The NPI number for Zoila Congleton is 1336152198. It was assigned to this individual provider in the NPPES registry on August 14, 2006.

Where is Zoila Congleton located?

Zoila Congleton practices at 4379 Ridgewood Center Dr Ste 102, Woodbridge, VA 22192. The listed phone number is (703) 680-7950.

What is Zoila Congleton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Zoila Congleton enrolled in Medicare?

Yes. Zoila Congleton 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.

Is Zoila Congleton affiliated with any hospitals?

According to CMS data, Zoila Congleton is affiliated with Sentara Northern Virginia Medical Center.

When was this NPI record last updated?

The NPPES record for Zoila Congleton was last updated on May 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.