Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LYDIA KAWUDHA PMHNP-BC
NPI 1528895398
Nurse Practitioner - Psychiatric/Mental Health in Fredericksburg, VA

Active since September 17, 2024PECOS Enrolled
3330 BOURBON ST, FREDERICKSBURG, VA 22408(540) 782-3620(540) 227-4591 Get Directions Write a Review

NPPES record last updated: September 18, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 18, 2026, Apr 9, 2026, Jan 30, 2026 and 4 more (7 updates tracked since 2024).

About Lydia Kawudha Pmhnp-bc NPPES

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

LYDIA KAWUDHA PMHNP-BC (NPI 1528895398) is an individual psychiatric/mental health provider in Fredericksburg, Virginia, licensed in Oregon (10060155) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1528895398
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLYDIA KAWUDHACredential: PMHNP-BC
Location Address3330 BOURBON STFredericksburg, VA 22408-7333
Mailing Address3330 Bourbon StFredericksburg, VA 22408-7333 · (540) 782-3620 · Fax (540) 227-4591
Fax(540) 227-4591
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 17, 2024
Last NPPES UpdateSeptember 18, 20267 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2026
✔ NPI 1528895398 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
Licenses✔ Licensed in OR · 10060155✔ Licensed in VA · 0024191086
3330 BOURBON ST, Fredericksburg, VA 22408

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lydia Kawudha Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5496282949
PECOS Enrollment IDI20260613000467, I20260617002863
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

4

Medicare enrollment records show Lydia Kawudha reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatric/Mental Health
3330 BOURBON ST
Fredericksburg, VA 22408
  • Reassigned Medicare billing, Virginia enrollment
Multi-Specialty
556 GARRISONVILLE RD STE 210
Stafford, VA 22554
  • Reassigned Medicare billing, Virginia enrollment
  • 4 clinicians in this Medicare group
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, District of Columbia enrollment
  • 1,424 clinicians in this Medicare group
Psychiatry
6003 SE 136TH AVE
Portland, OR 97236
  • Reassigned Medicare billing, Oregon enrollment
  • 14 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 22408 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 8

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

Physiological Laboratory
3330 BOURBON ST, STE 100
FREDERICKSBURG, VA 22408
Home Health
3330 BOURBON ST, STE 124
FREDERICKSBURG, VA 22408
Social Worker (Clinical)
3330 BOURBON ST
FREDERICKSBURG, VA 22408
Nurse Practitioner (Psychiatric/Mental Health)
3330 BOURBON ST
FREDERICKSBURG, VA 22408
Dietitian, Registered
3330 BOURBON ST, SUITE 128
FREDERICKSBURG, VA 22408
Counselor (Mental Health)
3330 BOURBON ST
FREDERICKSBURG, VA 22408
Home Health
3330 BOURBON ST
FREDERICKSBURG, VA 22408
Day Training, Developmentally Disabled Services
3330 BOURBON ST
FREDERICKSBURG, VA 22408

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 Lydia Kawudha's NPI number?

The NPI number for Lydia Kawudha is 1528895398. It was assigned to this individual provider in the NPPES registry on September 17, 2024.

Where is Lydia Kawudha located?

Lydia Kawudha practices at 3330 Bourbon St, Fredericksburg, VA 22408. The listed phone number is (540) 782-3620.

What is Lydia Kawudha's specialty?

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

Is Lydia Kawudha enrolled in Medicare?

Yes. Lydia Kawudha is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Lydia Kawudha's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lydia Kawudha reassigns Medicare benefits to 4 organizations: Aligned Minds Psychiatry (Fredericksburg, VA), Holistic Psychiatry And Medical Center LLC (Stafford, VA), Grow Healthcare Group PA (Miami, FL) and Oregon Behavioral Health Solutions, LLC (Portland, OR). 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 Lydia Kawudha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lydia Kawudha accept?

Health plans from Oscar Health list Lydia Kawudha 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 Lydia Kawudha was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 49 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.