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ELIZABETH-JANE MENGWI NGONGBO MSN-FNP
NPI 1356660740
Nurse Practitioner - Family in Fairfax Station, VA

Active since May 25, 2010PECOS EnrolledAccepts Medicare Assignment
9009 SILVERBROOK RD, FAIRFAX STATION, VA 22039(703) 493-8531(703) 361-0346 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, May 26, 2017 (2 updates tracked since 2017).

About Elizabeth-jane Mengwi Ngongbo Msn-fnp NPPES

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

ELIZABETH-JANE MENGWI NGONGBO MSN-FNP (NPI 1356660740) is an individual family provider in Fairfax Station, Virginia, licensed in Virginia (0024169666) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1356660740
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameELIZABETH-JANE MENGWI NGONGBOCredential: MSN-FNP
Location Address9009 SILVERBROOK RDFairfax Station, VA 22039-2607
Mailing Address8714 Sudley RdManassas, VA 20110-4405 · (703) 361-4357 · Fax (703) 361-0346
Phone(703) 493-8531
Fax(703) 361-0346
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMay 25, 2010
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1356660740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in VA · 0024169666
Also ListedRegistered NurseTaxonomy 163W00000X · License 0001202623 (VA)
9009 SILVERBROOK RD, Fairfax Station, VA 22039
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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

Elizabeth-jane Mengwi Ngongbo Msn-fnp 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 ID3870748353
PECOS Enrollment IDI20130307000307, I20250306001849
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

2

Medicare enrollment records show Elizabeth-jane Ngongbo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medstar Medical Group II LLC
16 mi
Critical Care Medicine
3800 RESERVOIR RD NW
Washington, DC 20007
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • Also billed through NPI 1376887844 (Maryland)
  • 3,530 clinicians in this Medicare group
NPI 1205562816 (703) 558-1403
Varahe Health Services LLC
25 mi
Geriatric Medicine
303 ADCLARE RD
Rockville, MD 20850
  • Reassigned Medicare billing, District of Columbia enrollment
  • 21 clinicians in this Medicare group
NPI 1811727753 (301) 991-4654

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 22039 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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 5

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

KATRINA KORNACK FNP-BC
Nurse Practitioner (Family)
9009 SILVERBROOK RD
FAIRFAX STATION, VA 22039
Fairfax County (866) 389-2727
ARIANNE GO RPH
Pharmacist
9009 SILVERBROOK RD
FAIRFAX STATION, VA 22039
Fairfax County (703) 493-8531
USMAN MAHMOOD PHARMD
Pharmacist
9009 SILVERBROOK RD
FAIRFAX STATION, VA 22039
Fairfax County (703) 493-8531
VIRGINIA CVS PHARMACY, L.L.C.
Pharmacy
9009 SILVERBROOK RD
FAIRFAX STATION, VA 22039
Fairfax County (703) 493-8531
JACQUELINE MAGILL FNP-C
Nurse Practitioner (Family)
9009 SILVERBROOK RD
FAIRFAX STATION, VA 22039
Fairfax County (703) 493-8531

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 Elizabeth-jane Ngongbo's NPI number?

The NPI number for Elizabeth-jane Ngongbo is 1356660740. It was assigned to this individual provider in the NPPES registry on May 25, 2010.

Where is Elizabeth-jane Ngongbo located?

Elizabeth-jane Ngongbo practices at 9009 Silverbrook Rd, Fairfax Station, VA 22039. The listed phone number is (703) 493-8531.

What is Elizabeth-jane Ngongbo's specialty?

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

Is Elizabeth-jane Ngongbo enrolled in Medicare?

Yes. Elizabeth-jane Ngongbo 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 Elizabeth-jane Ngongbo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth-jane Ngongbo reassigns Medicare benefits to 2 organizations: Medstar Medical Group II LLC (Washington, DC) and Varahe Health Services LLC (Rockville, MD). 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 Elizabeth-jane Ngongbo'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 Elizabeth-jane Ngongbo was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.