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EMMACULATE NDIFOR NP
NPI 1457802498
Nurse Practitioner - Psychiatric/Mental Health in Woodbridge, VA

Active since October 14, 2016PECOS EnrolledAccepts Medicare Assignment
14497 POTOMAC MILLS RD # 1133, WOODBRIDGE, VA 22192(130) 133-5845 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 12, 2023, Aug 24, 2022, Dec 13, 2016 and 1 more (4 updates tracked since 2016).

About Emmaculate Ndifor Np NPPES

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

EMMACULATE NDIFOR NP (NPI 1457802498) is an individual psychiatric/mental health provider in Woodbridge, Virginia, licensed in Virginia (0024174051) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1457802498
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameEMMACULATE NDIFORCredential: NP
Location Address14497 POTOMAC MILLS RD # 1133Woodbridge, VA 22192-6807
Mailing Address12449 Pfitzner CtWoodbridge, VA 22192-5595 · (301) 335-8453
Phone(130) 133-5845
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateOctober 14, 2016
Last NPPES UpdateJune 17, 20264 updates tracked since enumeration
NPPES CertifiedJune 17, 2026
✔ NPI 1457802498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in VA · 0024174051✔ Licensed in MD · R182600
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License R182600 (MD), 0024174051 (VA)
14497 POTOMAC MILLS RD # 1133, Woodbridge, VA 22192
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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

Emmaculate Ndifor 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.

PECOS PAC ID42558892
PECOS Enrollment IDI20190220003234
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.

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.

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 Emmaculate Ndifor's NPI number?

The NPI number for Emmaculate Ndifor is 1457802498. It was assigned to this individual provider in the NPPES registry on October 14, 2016.

Where is Emmaculate Ndifor located?

Emmaculate Ndifor practices at 14497 Potomac Mills Rd # 1133, Woodbridge, VA 22192. The listed phone number is (130) 133-5845.

What is Emmaculate Ndifor's specialty?

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

Is Emmaculate Ndifor enrolled in Medicare?

Yes. Emmaculate Ndifor 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.

When was this NPI record last updated?

The NPPES record for Emmaculate Ndifor was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 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.