MICHAEL NGETICH
NPI 1447717665
Nurse Practitioner - Family in Petersburg, VA

Active since February 24, 2019PECOS EnrolledAccepts Medicare Assignment
25 S UNION ST, PETERSBURG, VA 23803(804) 957-9601 Get Directions Write a Review

NPPES record last updated: September 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 22, 2021, Feb 24, 2019 (2 updates tracked since 2019).

About Michael Ngetich NPPES

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

MICHAEL NGETICH (NPI 1447717665) is an individual family provider in Petersburg, Virginia, licensed in Missouri (2018039615) and active in the NPI registry since February 2019. He is enrolled in Medicare PECOS, is affiliated with Bon Secours Southside Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1447717665
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMICHAEL NGETICH
Location Address25 S UNION STPetersburg, VA 23803-4221
Mailing Address25 S Union StPetersburg, VA 23803-4221 · (804) 957-9601
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 24, 2019
Last NPPES UpdateSeptember 22, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2021
NPI 1447717665 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 MO · 2018039615
25 S UNION ST, Petersburg, VA 23803

Other Identifiers 1

Other2018039615Family Nurse Practitioner

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

Michael Ngetich 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 ID345582201
PECOS Enrollment IDI20190430000122, I20211202001310
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.

Hospital Affiliations CMS Care Compare

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

Bon Secours Southside Medical Center

Acute Care Hospitals · Petersburg, VA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number490067
Location200 Medical Park BoulevardPetersburg, VA 23805 · Petersburg City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23803 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 10

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

Social Worker (Clinical)
25 S UNION ST
PETERSBURG, VA 23803
Physician Assistant (Medical)
25 S UNION ST
PETERSBURG, VA 23803
Clinic/Center (Federally Qualified Health Center (FQHC))
25 S UNION ST
PETERSBURG, VA 23803
Nurse Practitioner (Family)
25 S UNION ST
PETERSBURG, VA 23803
Nurse Practitioner (Family)
25 S UNION ST
PETERSBURG, VA 23803
Nurse Practitioner (Family)
25 S UNION ST
PETERSBURG, VA 23803
Nurse Practitioner (Family)
25 S UNION ST
PETERSBURG, VA 23803
Specialist
25 S UNION ST
PETERSBURG, VA 23803

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 Michael Ngetich's NPI number?

The NPI number for Michael Ngetich is 1447717665. It was assigned to this individual provider in the NPPES registry on February 24, 2019.

Where is Michael Ngetich located?

Michael Ngetich practices at 25 S Union St, Petersburg, VA 23803. The listed phone number is (804) 957-9601.

What is Michael Ngetich's specialty?

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

Is Michael Ngetich enrolled in Medicare?

Yes. Michael Ngetich 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 Michael Ngetich affiliated with any hospitals?

According to CMS data, Michael Ngetich is affiliated with Bon Secours Southside Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Ngetich was last updated on September 22, 2021. 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.